コスタリカ共和国で行った胃癌集団検診の検討 : 胃癌早期発見における集団検診の意義 Mass screening for gastric cancer performed in Costa Rica

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著者

    • 笹川 剛 SASAGAWA Tsuyoshi
    • 東京女子医科大学消化器外科 Tokyo Women's Medical University, Institute of Gastroenterology, Department of Surgery
    • 高崎 健 TAKASAKI Ken
    • 東京女子医科大学消化器外科 Tokyo Women's Medical University, Institute of Gastroenterology, Department of Surgery

抄録

中米コスタリカで10064人のレントゲンによる胃検診を行い胃癌69例(検診群)を発見した.これを同時期の従来の医療システムで発見された胃癌172例(非検診群)と比較検討し,日本の検診成績と対比した.発見率は検診群0.68%,日本0.11%.検診群,非検診群,日本の順に手術率92.7%,76.2%,97.0%,切除率96.8%,83.2%,98.6%,早期癌の率64.5%,30.3%,65.9%,根治度Aの率79.0%,38.5%,82.6%と検診群は非検診群より良好で,日本の成績と同等であった.コスタリカにおいても日本と同等の診断・技術力をもって検診を行えば日本と同等の成績が得られることを示した.

We performed mass screening for gastric cancer by means of X-ray in Costa Rica from 1996 through 1999. Screening was performed on 10064 subjects and 69 gastric cancers were detected (screening group). During the same period 172 gastric cancer patients were referred to us (non-screening group). Results of screening in Japan (Japanese group) were quoted from the annual report of the Japanese Society of Gastroenterological Mass Survey. This study is a comparison of these 3 groups. The detection rate was 0.68% in the screening group, 0.11% in the Japanese group. The operability was 92.7%, 76.1%, 97.0%, the resectability 96.8%, 83.2%, 98.6%, the rate of early gastric cancer 64.5%, 30.3%, 65.9%, and the rate of curability A 79.0%, 38.5%. 82.6% in the screening group, non-screening group and Japanese group respectively. The results in the screening group were exactly equal to those in the Japanese group. These results show that the same results can be obtained in Costa Rica as in Japan, if screening is performed with the same diagnostic level and skill as in Japan.

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 99(6), 577-583, 2002-06-05

    The Japanese Society of Gastroenterology

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