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胃上皮异型增生诊断及治疗研究进展

俎明 丁士刚

中国全科医学2018,Vol.21Issue(20):2404-2408,5.
中国全科医学2018,Vol.21Issue(20):2404-2408,5.DOI:10.3969/j.issn.1007-9572.2017.00.277

胃上皮异型增生诊断及治疗研究进展

Advances in the Diagnosis and Treatment of Gastric Epithelial Dysplasia

俎明 1丁士刚1

作者信息

  • 1. 100191 北京市,北京大学第三医院消化科
  • 折叠

摘要

Abstract

Gastric epithelial dysplasia is an important precancerous lesion of gastric cancer,which is diagnosed by pathological examination.To standardize the classification and diagnosis of precancerous lesions in the world,Padova,Vienna, and WHO classifications were established.The natural history of low grade gastric dysplasia is still controversial,but the high grade gastric dysplasia is associated with high risk of malignant transformation of gastric cancer.Furthermore,there are histologic discrepancies between the results of endoscopic biopsy and endoscopic resection in the diagnosis of gastric epithelial dysplasia. This article reviews the definition,natural history,diagnosis and treatment of gastric epithelial dysplasia,and puts forward that endoscopic treatment of gastric epithelial dysplasia or regular follow-up is the most reliable strategy for the prevention of early gastric cancer.

关键词

胃肿瘤/胃上皮异型增生/癌前病变/上皮内瘤变

Key words

Stomach neoplasms/Gastric epithelial dysplasia/Precancerous lesion/Intraepithelial neoplasia

分类

医药卫生

引用本文复制引用

俎明,丁士刚..胃上皮异型增生诊断及治疗研究进展[J].中国全科医学,2018,21(20):2404-2408,5.

中国全科医学

OA北大核心CSTPCD

1007-9572

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