Avtor/Urednik		Repše, A; Rupnik, H
Naslov		Zgodnji rak želodca - primerjava endoskopske ocene stadija bolezni z dokončno patohistološko zamejitvijo, načinom zdravljenja in preživetjem bolnikov
Prevedeni naslov		Early gastric cancer - comparison of endoscopic stage evaluation, definitive histological stage assessment, treatment and survival rate
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 33, št. 3
Leto izdaje		1994
Obseg		str. 261-70
Jezik		slo
Abstrakt		Clinical diagnosis of early gastric cancer was established in 51 of 262 patients with gastric cancer. The aim of the study was to determine the accuracy of clinical diagnosis, and to evaluate the therapy and 5-year survival rate in patients with early gastric cancer. We compared clinical diagnosis and histological findings of the resected specimens in 41 out of the 51 cases studied. Early gastric cancers were classified by location, gross appearance and histological type according to Lauren. 27 out of 41 patients had early gastric cancer. 26 patients were treated by surgery and one by endoscopic polypectomy. Their 5-year survival rate was 77,3 percent. In view of the fact that early gastric cancer is curable in most cases, screening for the disease is necessary at least in high-risk population groups. Current diagnostic methods do not yet allow for an accurate clinical staging of the disease. Endoscopic ultrasound examination will improve the accuracy of clinical assessment and make local treatment possible in selected patients.
Izvleček		Pri 51 od 262 bolnikov z rakom želodca je bila ugotovljena klinična diagnoza zgodnji rak. Ugotoviti smo hoteli, kakšna je zanesljivost klinične diagnoze, kakšno je bilo zdravljenje in kakšno je preživetje bolnikov z zgodnjim rakom. Pri 41 od 51 bolnikov smo lahko klinično diagnozo primerjali z izvidom patohistološkega pregleda resektata. Zgodnje rake smo razdelili po lokalizaciji, makroskopskem videzu in histološkem tipu po Laurenu. 27 od 41 bolnikov je imelo zgodnji rak, 26 bolnikov je bilo operirahih, pri enem pa je bila narejena endoskopska polipektomija. 5-letno preživetje bolnikov z zgodnjim rakom želodca je 77,3 procenta. Zgodnji rak želodca je pri večini bolnikov ozdravljiv, zato je treba načrtno iskati bolezen vsaj pri rizičnih skupinah ljudi. Sedanje diagnostične metode še ne omogočajo zanesljive klinične zamejitve. Endoskopski ultrazvok bo povečal zanesljivost klinične ocene in tako omogočil lokalno zdravljenje pri izbranih bolnikih.
Deskriptorji		STOMACH NEOPLASMS NEOPLASM STAGING ADULT MIDDLE AGE AGED GASTROSCOPY SURVIVAL RATE