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胃癌의 早期診斷에 관한 硏究

Studies on the Early Detection of Gastric malignancy

전남의대잡지 1970년 7권 1호 p.51 ~ 56
尹鍾晩, 朴玉圭, 李泰熙,
소속 상세정보
尹鍾晩 (  ) - 全南大學校 醫科大學 內科學敎室
朴玉圭 (  ) - 全南大學校 醫科大學 內科學敎室
李泰熙 (  ) - 全南大學校 醫科大學 內科學敎室

Abstract


Applying the chymotrypsin lavage method, cytological examination of exfoliative cells from the stomach was performed in one hundred patients with malignant disease(44 cancer patients) and benign lesions(22 gastric and duodenal ulcer patients and 34 gastritis patients).
The cytological examination enabled to confirm the diagnosis in 66% of cancer and 91% of benign cases.
Cytological test was particularly helpful in detecting polypoid cancer of pylorus and fundus early cancer generalized in superficial layer of the mucosa or early cancer developed in the superficial layer of polyps.
Cytological findings offered some information tion of the histopathological background in the malignant changes. Moreover, findings from exfoliative cytology could be used as a better diagnostic tools when it was closely correlated to those findings from X-ray study, endoscopic examination and biopsy of stomach.
It is necessary to have well trained cytotechnician and skillful pathologist to obtain better results in early detection of gastric malignancy.
Since the cytological examination is one of the most accurate safe method of diagnosis for gastric malignancy, the procedure is recommended not only to specialist but also to general practitioner as a-routine screening test.

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