努力识别消化系早癌概要.ppt

Large bowel: unstained, intraepithelial neoplasia Same case :chromoendoscopy with indigo carmine Esophagus(Squamous epithelium): unstained, submucosal carcinoma(sm2) Same case :chromoendoscopy with iodine stain Cardia:unstained, submucosal adenocarcinoma(sm2) Same case:chromoendoscopy with indigo carmine Esophagus(squamous epithelium):unstained, intramucosal carcinoma Same case:chromoendoscopy with iodine stain Same case:operative specimen,unstained Same case:operative specimen with serial sections,stained with iodine Large bowel: laterally spreading type, intraepithelial neoplasia. Same case : chromoendoscopy with indigo carmine. Esophagus(squamous epithelium):unstained, intraepithelial neoplasia Same case:chromoendoscopy with iodine stain Esophagus(squamous epithelium):unstained, intramucosal carcinoma Same case:chromoendoscopy with iodine stain Same case:chromoendoscopy with indigo carmine Stomach, prepyloric:unstained ,carcinoma(sm) Esophagus(squamous epithelium): unstained, submucosal carcinoma(sm2) Same case:chromoendoscopy with iodine stain Large bowel:unstained, sub-mucosal adenocarcinoma(sm2) Same case:chromoendoscopy with indigo carmine Stomach,posterior:unstained, submucosal adenocarcinoma(sm2) Same case:chromoendoscopy with indigo camine Esophagus(squamous epithelium):unstained,submucosal carcinoma(sm3) Same case: chromoendoscopy with iodine stain Sub-cardiac stomach: unstained intramucosal carcinoma Same case:chromoendoscopy with indigo camine 高危人群筛查 高危人群筛查 高发区普查 预警系统 寻找与消化道癌发病关联的因素,利用判别分析和综合评价分析,建立消化道癌筛查模型 识别消化系早癌 任重道远 增强意识 提高认识 苦练内镜基本功 添置特殊内镜 做好活检标本的前处理 与病理科同道密切沟通 * This graphic from the review paper of cancer incidence showed that the male and female ratio for gastric cancer around most countries are similar with a 2:1 ratio. The cause of this male and female difference is still not clear * Figure 3-2. Age-standardized rates of colon cancer in populations having the highest and lowest rates worldwide. Incidence is per 100,000 population in