早期胃癌NBI放大内镜诊断应用.pptVIP

大小颜色形状隆起表面0-IM癌2cm以下有茎SM癌3cm以上明显发红无茎，黏膜下肿瘤样基底凹陷、凹凸不平，溃疡0-IIaM癌2cm以下SM癌4cm以上明显发红高隆起、黏膜下肿瘤样基底大小不同结节、中心凹陷、糜烂、发红大小颜色形状凹陷面0-IIc，UL(-)M癌2cm以下浅度凹陷轻度凹陷SM癌2cm以上明显发红深度凹陷，台状隆起，黏膜下肿瘤样隆起无结构化，粗大结节大小颜色形状皱襞0-IIc，UL(+)M癌先端变细、蚕食、中断SM癌明显发红台状隆起变粗融合01气体量03胃窦判断过深02胃底胃体上部判断过浅aC-WLI?ndings.hislesion(arrow)wasclassi?edasnotredcolored(pale)usingC-WLI.bMagnifyingendoscopywithnarrow-bandimaging(M-NBI)?ndings(arrows,DL).Usingthevesselplussurface(VS)classi?cationsystem,thislesionwasdiagnosedascancerbythepresenceofanirregularMVpatternplusanirregularMSpattern.cThehistopathologicaldiagnosisoftheresectedspecimenwasEC.*Arepresentativecaseoflow-gradeadenoma(LGA).aC-WLI?ndings.Thislesion(arrow)wasclassi?edasnotredcolored(pale)usingC-WLI.bM-NBI?ndings(arrows,DL).Usingthevesselplussurface(VS)classi?cationsystem,thislesionwasdiagnosedasnoncancerbythepresenceofaregularMVpatternplusaregularMSpattern,withaDL.cThehistopathologicaldiagnosisoftheresectedspecimenwasLGA*GastrointestEndosc.2014Jan;79(1):55-63.doi:10.1016/j.gie.2013.07.008.Epub2013Aug7.Anefficientdiagnosticstrategyforsmall,depressedearlygastriccancerwithmagnifyingnarrow-bandimaging:apost-hocanalysisofaprospectiverandomizedcontrolledtrial.*Endoscopy.?2004Dec;36(12):1080-4.Magnifying?endoscopy?combined?with?narrow?band?imaging?system?for?early?gastric?cancer:correlation?of?vascular?pattern?with?histopathology?(including?video).*Endoscopy.?2004Dec;36(12):1080-4.Magnifying?endoscopy?combined?with?narrow?band?imaging?system?for?early?gastric?cancer:correlation?of?vascular?pattern?with?histopathology?(including?video).*MagnifyingendoscopywithNBI(ME-NBI)

在早期胃癌诊断中的应用临沂市人民医院彭利军2015-091.诊断存在与否2.性质诊断：癌或非癌鉴别，组织型诊断3.病变范围诊断4.浸润深度诊断早期胃癌的内镜诊断性质诊断经典V.S分型即MS（微结构）表型，包括规则MS表型，不规则MS表型，和MS表型缺失三种。4DL(Demarcationline)：