1.The value of gastrointestinal endoscopy in patients with hepatic cell cancer
Zongli ZHANG ; Kesen XU ; Zutao JIN ; Jikang HU
Chinese Journal of Current Advances in General Surgery 1999;0(02):-
Objective:To evaluate the value of gastrointestinal endoscopy in patients with hepatic cell cancer.Methods:A retrospective analysis was made on 316 patients with hepatic cell cancer undergoing gastrointestinal endoscopy preoperatively from 1992 to 1998.Results:2 cases were accompanied with gastric cancer,62 cases with esophagogastric varices,58 cases with gastric or duodenal ulcer,218 cases with gastritis,Of them 30 cases with portal hypertension gastropathy,24 cases were normal.Conclusion:Hepatic cell cancer is usually accompanied with upper gastrointestinal lesions,It should be paied attention to treat perioperatively.
2.INDICATION OF FNA REPLACING EXCIXION BIOPSY FOR DIAGNOSING BREAST CANCER
Jikang HU ; Rong MA ; Jingzhong SUN ; Jianping ZHANG ; Jian WAN ; Wenjun LIN
Chinese Journal of Current Advances in General Surgery 1998;0(01):-
objective At present, most operable breast cancers are confirmed by excision biopsy during the operation. If the breast cancer was definitely diagnosed by Fine -Needle Aspiration cytology(FNA) preoperatively, the excision biopsy could be avoid. Methods We diagnosed 118 inpatients of breast mass with physical examination and FNA from September, 1995 to May, 1996. Results The sensitivity and positive predict value of FNA for diagnosing breast cancer are 95.7% and 97.1%. When the palpation and FNA are both positive, the doublepositive predict value for breast cancer is 100% in our study. It is the indication of using FNA that a breast mass was diagnosed as cancer by physical examination. We can treat a breast mass with redical operation directly without excision biopsy, if the breast mass was confirmed as breast cancer by both physical examination and FNA. Conclusion We concluded that the preoperative FNA could partially replace the excision biopsy for confirming breast cancer.