臨牀消化器内科 Vol.12 No.12(2-1)


特集名 早期食道癌 -- 病型分類と深達度から
題名 早期食道癌の診断 (1) X線診断の進歩の現状
発刊年月 1997年 11月
著者 細井 董三 多摩がん検診センター消化器科
著者 平塚 伸 多摩がん検診センター消化器科
【 要旨 】 早期食道癌に対するX線診断の進歩の現状について述べた.バリウムの改良と撮影法の工夫により,m2病変までは間接X線撮影による集検の場でも拾いあげが可能になった.精密X線検査の診断精度は画像の改善に伴って大幅に向上し,内視鏡的治療の適応の決定に重要なm2とm3の鑑別もほぼ可能になっている.
Theme Early Esophageal cancer-from the Viewpoint of its Type and the Depth of Invasion
Title Advances and Present Features of on X-ray Diagnosis of Early Esophageal Cancer
Author Tohzou Hosoi Dept. of Gastroenterology,Tokyo Metropolitan TAMA Cancer Detection Center
Author Shin Hiratsuka Dept. of Gastroenterology,Tokyo Metropolitan TAMA Cancer Detection Center
[ Summary ] Recent advances and the status quo, focusing particularly on X-ray diagnosis, of early esophageal cancer have been described herein. Improvement in the barium meal method and innovations in photographic techniques have made diagnosis a reality, even in mass screening, employing small-sized X-rays, allowing the detection of lesions as small as m2. Diagnostic accuracy for detailed X-ray examination has been greatly improved along with the better visualization of images, and discriminative diagnosis between m2 and m3 which is necessary for deciding whether there exists an indication for feasible endoscopic surgery.
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