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Early Gastric Cancer Mimicking Benign Gastric Erosion with Emphasis on the Usefulness of Magnifying Endoscopy with Narrow Band Imaging: Report of a Case

對於擬似良性胃糜爛的早期胃癌強調擴大內視鏡合併窄頻光影像對於診斷的有用性:一病例報告

摘要


早期胃癌雖然預後極佳,但常常因為其外觀不明顯而不易被內視鏡醫師辨識。許多研究顯示「窄頻光擴大內視鏡」對於區分癌病變與非癌病變相當有幫助。我們報告一位罹患有胃竇部黏膜內癌的55歲男性患者。藉由運用窄頻光擴大內視鏡,我們正確診斷出混雜在複數糜爛或淺潰瘍病變中之微小癌病變,並隨後以內視鏡黏膜下剝離術切除病變。我們也將一併探討窄頻光擴大內視鏡的有用性,及其在早期胃癌診斷中的角色。

並列摘要


Early gastric cancer (EGC), although highly curable, remained difficult to be detected in Taiwan. The minute nature of EGC precludes endoscopists from recognizing it. Magnifying endoscopy with narrow band imaging (ME-NBI) was shown useful in distinguishing neoplastic from non-neoplastic lesions. Here we report a 55-year-old man with an intramucosal cancer in gastric antrum. With the aid of ME-NBI, the cancerous lesions was accurately diagnosed and removed by endoscopic submucosa dissection (ESD). The usefulness of ME-NBI and its role in diagnosing EGC will be re-emphasized.

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