中国内镜杂志2024，Vol.30Issue(7)：71-76,6.DOI:10.12235/E20230513
京都胃炎分类评分在胃镜下识别未分化型与分化型胃癌的价值
Identification of undifferentiated and differentiated gastric cancer under endoscope based on Kyoto classification score
李超 1崔立红 1王晓辉 1于兰 1王巍 1刘新尧 1李晓伟 1闫志辉1
作者信息
- 1. 解放军总医院第六医学中心 消化内科,北京 100048
- 折叠
摘要
Abstract
Objective To explore the value of the Kyoto classification score in differentiating undifferentiated gastric cancer from differentiated gastric cancer,and establish a predictive scoring system for differentiating undifferentiated gastric cancer under endoscope.Methods 183 gastric cancer patients were retrospectively analyzed.According to pathology,95 patients were included in the differentiated group and 88 were included in the undifferentiated group.The age,gender and Kyoto classification score of patients in the two groups were compared,and the factors associated with undifferentiated gastric cancer were screened by binary Logistic regression analysis.The predictive scoring system for undifferentiated gastric cancer was established based on the obtained odds ratio(O(R))values,and the receiver operator characteristic curve(ROC curve)was drawn.Results Compared with differentiated group,the total scores of Kyoto classification,atrophy,intestinal metaplasia and diffuse redness were lower in undifferentiated group(P<0.01).Under the age of 55(P<0.05),female(P<0.05),and C1 atrophy or no atrophy(P<0.01)were independently associated with undifferentiated gastric cancer.The area under the curve(AUC)of predictive scoring system for undifferentiated gastric cancer was 0.881(95％CI:0.828～0.934),and the sensitivity and specificity were 80.70％and 90.50％at the optimal cut-off value.Conclusion There are differences in Kyoto classification scores between undifferentiated and differentiated gastric cancer patients.The predictive scoring system of undifferentiated gastric cancer established by us has certain value in distinguishing undifferentiated gastric cancer under endoscope.关键词
胃癌/内镜/京都胃炎分类/未分化癌Key words
gastric cancer/endoscope/Kyoto classification/undifferentiated carcinoma分类
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李超,崔立红,王晓辉,于兰,王巍,刘新尧,李晓伟,闫志辉..京都胃炎分类评分在胃镜下识别未分化型与分化型胃癌的价值[J].中国内镜杂志,2024,30(7):71-76,6.
