INTESTINE Vol.3 No.2(1-2)


特集名 拡大内視鏡の進歩
題名 拡大内視鏡の有用性と問題点 (2) 癌の深達度診断
発刊年月 1999年 03月
著者 田村 智 高知医科大学第一内科
【 要旨 】 要旨はありません。
Theme Progress of Magnifying Colonoscopy
Title Depth diagnosis of early colorectal cancer using magnifying videoscope
Author Satoru Tamura First Department of Internai Medicine, Kochi Medical School
[ Summary ] The authors examined 597 colorectal tumorous lesions using magnifying endoscopy, stereomicroscopy and histopathology. Lesions with type I or II pit patterns are non-tumorous, whereas lesions of types IIIs, IIIL, IV and/or V pit patterns are tumorous. Their magnifying endoscopic pit pattern images were fundamentally similar to their stereomicroscopic images. The accuracy of endoscopic diagnosis, or magnifying endoscopic diagnosis, consistent with that of stereomicroscopic diagnosis, was 86.6% (200/231 lesions). Lesions exhibiting type VA (amorphism) pit patterns are intramucosal cancers, whereas submucosal invading cancers reveal non-structural patterns (VN).
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