An Attempt of Detection of Gastric Cancer in Early Stage
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概要
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For the detection of gastric cancer in its early stage, a new program is underway at this hospital. The subjects under this program are those patients who had gastric complaints in the past and was treated and improved at the devision of medicine of this hospital. Objective and subjective data were tabulated in cards on each patient. The patients were requested to report to the hospital every 6 months, and X-ray examination of the upper GI-series was routinely made. Gastroscopy with gastrocamera and gastric juice analysis were added if necessary. So far 215 X-ray examinations were made on 135 subjects. Of these, nine had suspicious lesions of gastric carcinoma, and gastrectomy was performed. Of the resected specimens, pathological study revealed 3 cases of gastric carcinoma. 4 of gastric ulcer and 1 each of gastric polyp, and chronic gastritis. In 2 of carcinoma cases, the malignant changes were still in early stage ; in one of the two the lesion was still confined to the mucosa, and the other revealed malignant changes occuring at the site of a chronic gastric ulcer.In all the 6 cases of benign lesions, the symptoms were of such a chronic nature that gastrectomy was apparently thought to have been indicated. Our experience in the past 2 years has clearly shown that such a program is quite effective for the detection of gastric cancer in its early stage. However, this program requires a cooperative work of many welltrained physicians and technicians, and amount of medical expense on the subjects.Considering the fact that approximately 54, 000 people die by gastric cancer every year in Japan, this type of checkup must be routinely performed for the general population of the suitable age group. And for this purpose, increase in X-ray specialists, improvement in X-ray diagnostic technige such as use of X-ray television, and legislation so that the checkup can be covered by health insurance are mandatory. This will be accomplished only with an active support by the government.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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