医学消化道早癌的诊断3.pptxVIP

消化道早癌的内镜诊断;概 述;发现早癌的内镜诊断技术;白光内镜发现早癌的前提;一、染色内镜;;;Indigo carmine;;二、特殊光谱及放大内镜;;EP, epithelium; LPM, lamina propria mucosae; MM, muscularis mucosae; SM, submucosa; PM, proper muscle; M1, cancer is limited epithelium; M2, cancer invades LPM but does not reach MM; M3, cancer invasion reaches MM; SM, submucosally invasive cancer;NBI imaging of a lesion of IPCL type III. ;This pattern is called IPCL-V1. IPCL-V1 includes four major characteristic morphological changes of IPCL: dilation, meandering, irregular caliber, and figure variation. T1a.;This is typical image of intrapapillary capillary loop