The diagnosis value of using NBI-ME in serum CEA positive microvascular parting observation of gastric cancer and colorectal cancer
10.3969/j.issn.1671-8348.2014.07.017
- VernacularTitle:NBI-M E在CEA 阳性病例中进行微血管分型诊断胃癌和肠癌的临床价值
- Author:
Jie LI
;
Huiming TU
;
Qiao QIAO
;
Kebin XU
- Publication Type:Journal Article
- Keywords:
intestinal neoplasms;
stomach neoplasms;
carcinoembryonic antigen;
diagnosis
- From:
Chongqing Medicine
2014;(7):818-820
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study clinical diagnosis value of using magnifying endoscopy with narrow-band imaging(NBI-ME) in the CEA positive cases of microvascular parting to gastric cancer and colorectal cancer .Methods 873 cases in our hospital from 2012~2013 ,who had serum CEA positive were choosen ,the 114 patients who first diagnosis for suspected gastric cancer ,35 pa-tients who first diagnosis forsuspected colorectal cancer were included in this study .Using NBI-ME to check and the pathology bi-opsy .NBI-M E check key observation microvascular properties and classification :rules ,slightly irregular ,irregular ,disappeared ,the microvascular parting situation compared with pathological findings .Results 13 patients diagnosed with cancer by pathology ,the positive rate was 8 .72% ;intraepithelial neoplasia in 10 cases ,the positive rate was 6 .71% .No cases of cancer were regular and slightly irregular type ,all cancer cases in the disappearance .The sensitivity of type of disappeared was 100 .00% ,and the sensitivity of irregular type of canceration possibility intestinal large atrophy and high grade intraepithelial neoplasia was 87 .50% ,the differ-ence was statistically significant(P<0 .05) .Conclusion Using NBI-ME microvascular classification diagnosis could help observa-tion CEA positive cases in the screening of gastric cancer and colorectal cancer .
