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Đã xuất bản: 2025-12-24
Số lượt xem tóm tắt: 25
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DOI: https://doi.org/10.52163/yhc.v66i8.4074
Số xuất bản
Tập 66 VoL.English Version 2
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Cách trích dẫn
De, N. V., Thuy, L. T. ., Minh, T. D., & Trung, N. H. (2025). ENDOSCOPIC AND HISTOPATHOLOGICAL CHARACTERISTICS OF GASTRIC LESIONS SUSPECTED OF EARLY GASTRIC CANCER AND PRECANCEROUS LESIONS. Tạp Chí Y học Cộng đồng, 66(8). https://doi.org/10.52163/yhc.v66i8.4074

ENDOSCOPIC AND HISTOPATHOLOGICAL CHARACTERISTICS OF GASTRIC LESIONS SUSPECTED OF EARLY GASTRIC CANCER AND PRECANCEROUS LESIONS

Nguyen Van De1, Le Thi Thuy2,3, Tong Duc Minh2, Nguyen Hoang Trung2
1 108 Military Central Hospital
2 Vietnam Military Medical University
3 Military Hospital 4, Military Region 4

Nội dung chính của bài viết

Tóm tắt

Objective: To describe the endoscopic and histopathological characteristics of gastric lesions suspected of early gastric cancer and precancerous lesions.


Methods: A cross-sectional study was conducted on 200 patients with gastric lesions detected on endoscopy at 108 Military Central Hospital from 2020 to 2024. All patients underwent magnifying narrow-band imaging (NBI) endoscopy and chromoendoscopy. Lesions suspected of early gastric cancer according to Japanese endoscopic criteria were biopsied for histopathological diagnosis.


Results: Most lesions had a size ≤ 1 cm (51.0%). NBI endoscopy showed that 51% of lesions had no clear demarcation line; nearly half exhibited a homogeneous microsurface pattern and regular microvascular pattern. Thirty-five lesions suspected of early gastric cancer were biopsied; histopathology revealed early gastric cancer in 42.9%, high-grade dysplasia in 34.2%, low-grade dysplasia in 17.1%, and chronic inflammation in 5.8%. Among the 35 lesions suspected of early gastric cancer on endoscopy, 94.2% were confirmed as early gastric cancer or precancerous lesions on histopathology.


Conclusion: This study shows that early gastric cancer and precancerous gastric lesions present with diverse endoscopic appearances and histopathological patterns.

Chi tiết bài viết

Từ khóa

Early gastric cancer; Gastric precancerous lesions; Histopathology.

Tài liệu tham khảo

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