조기위암의 임상적 연구 = A Clinical Study of Early Gastric Cancer by Endoscopy

국문 초록 (Abstract)

1989년 9월부터 1993년 7월까지 인제대학교 의과대학 상계백병원에서 실시한 위내시경 소견이 조기위암이며 내시경 직시하 생검결과 선암으로 판명되어, 근치적 위절제술을 시행받은 23명의 환자에서 임상적 특징을 알아보고, 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

The incidence and mortality rate of stomach cancer ranks well ahead of all malignancies in Korea. The prognosis is excellent in early gastric cancer of which the overall 5 years survival rate of 85∼95% is comparative with that of advanced gastric cancer of 15∼49%. So early detection with very sensitive mordality of gastroscope and surgery is the only premise to decrease the mortality rate of gastric cancer.
This report deals with the clinical aspects of 23 cases of early gastric cancer, which were confirmed with histopathologic examination of resected stomach during the 4 years from September 1989 to July 1993 at Sanggye Paik hospital, Seoul, Korea.
Out of 23 cases of early gastric cancer, 14 cases were male, 9 cases were female, and the male to female ratio was 1.6 : 1.
The most common type of early gastric cancer was talc type(43.5%), IIc and its combined type comprised most of them(87.0%).
The most prevalent sloe of lesion was gastric angle(43.5%) and the most common direction was lesser curvature(73.9%) 19 cases of 23(78.3%) were between 1∼3cm in size, and there was no statistical significance between the size of the lesion and lymph node metastasis.
Of the 9 cases with mucosal lesion, there were 2 cases with lymph node metastasis(22.2%), but 7cases(50.0% ) of 14 cases with submucosal lesion presented lymph node metastasis.
Diagnostic accuracy of endoscopy on detection of early gastric cancer was 17 cases(73.9%) of total 23 cases in our study.
As with other report, histopathulogic examination of resected stomach revealed adenocarcinoma, tubular type as the most common type.
Frequent complaint of patients with early gastric cancer was epigastric pain(65.2%), and duration of the symptom was less than 12 months in 17 cases(73.1%) of 23 patients with early gastric cancer.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.대상 및 방법
• Ⅲ.결과
• 1.연령 및 성별분포
• 2.조기위암의 육안적 분류
• 3.병소의 위치
• 4.병소의 크기와 임파절 전이와의 관계
• 5.병소의 크기와 심달도와의 관계
• 6.심달도와 임파절 전이와의 관계
• 7.조기위암의 내시경적 진단율
• 8.병리소견
• 9.임상증상
• Ⅳ.고찰
• Ⅴ.결론