胃と腸51巻5号

2016年05月発行

増刊号 消化管拡大内視鏡診断2016 主題 胃

拡大内視鏡による胃炎，腺腫，胃癌の鑑別診断

著者： 土山寿志¹ 中西宏佳¹ 津山翔² 竹田康人¹ 辻国広¹ 冨永桂¹ 吉田尚弘¹ 竹村健一¹ 山田真也¹ 片柳和義² 車谷宏² 八尾建史³

所属機関： ¹石川県立中央病院消化器内科 ²石川県立中央病院病理診断科 ³福岡大学筑紫病院内視鏡部

ページ範囲：P.594 - P.603

要旨●VSCS（VS classification system）を用いたNBI併用拡大内視鏡（M-NBI）による胃癌の質的診断能は極めて高く，精密検査のみならず，胃ルーチン検査にM-NBIを導入するメリットは大きい．すなわち，通常内視鏡検査で同定した病変について引き続き高い診断能をもって質的診断が可能である．また不要な生検を省略できる点でも有用である．さらに近年，病理組織像に迫るM-NBIの新知見が相次いで報告されており，VSCSの補助的な所見として注目されている．VSCSを習得するためには，“目”のみならず“手”のトレーニングも重要である．最大倍率を含む一定の観察条件で病変を観察することが，VSCSの高い客観性と再現性をもたらすことを理解するべきである．

参考文献

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