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结晶紫染色结合联动成像技术放大内镜观察早期结直肠癌

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LCI文献

结晶紫染色结合联动成像技术放大内镜观察早期结直肠癌

2022/03/11LCI文献
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结晶紫染色结合联动成像技术放大内镜观察早期结直肠癌

Magnified endoscopic observation of early colorectal cancer by linked color imaging with crystal violet staining (with video)



T Suzuki, T Hara, Y Kitagawa, T Yamaguchi - Gastrointestinal Endoscopy, 2016


结 论

LCI放大内镜结合CV染色可提供接近组织病理结果的图像,有望提高内镜诊断早期结直肠癌浸润深度的准确性。


Conclusions: LCI high-magnification endoscopy combined with CV staining provides images close to histopathologic findings and is expected to improve the accuracy of endoscopic diagnosis of the depth of invasion for early stage colorectal cancer.

01

背景与目的

许多报告已经显示了结晶紫(CV)染色结合放大内镜在结直肠癌诊断中描述腺管开口的有效性。然而,该方法的诊断准确性并不足以评估早期癌症的浸润深度。联动成像技术(LCI)结合CV染色有望提高确定浸润深度的准确性。


Background and aim: Many reports have shown the usefulness of magnification endoscopy with crystal violet (CV) staining for delineating the pit pattern in the diagnosis of colorectal carcinoma. However, the diagnostic accuracy of this method is not adequate for assessing the depth of invasion of early stage cancers. The novel technology of linked color imaging (LCI) combined with CV staining is expected to improve the accuracy of determining the depth of invasion.

02

方法

我们研究了3例转至本院的早期结直肠癌患者。 CV染色后,采用LCI模式进行内镜下放大检查。通过比较术前内镜诊断图像和治疗后的组织病理结果来评估这种方式的疗效。


Methods: We studied 3 patients with early stage colorectal cancer who were referred to our hospital. After CV spraying, high-magnification endoscopy was conducted by using the LCI mode. Efficacy of this modality was evaluated by comparing the preoperative diagnostic endoscopic images with posttreatment histopathologic findings.

03

结果

在2例直肠癌中虽然常规内镜检查不能排除黏膜下癌的可能性,但使用CV染色后LCI模式诊断为黏膜癌。 最后,进行了EMR,并实现了根治性切除。 在1例乙状结肠癌病例中,常规内镜和CV放大内镜下均提示为黏膜下癌。 然而,通过新方法诊断出为黏膜癌,EMR实现了根治性切除。   


Results: In 2 cases of rectal cancer, although conventional endoscopic examination could not exclude the possibility of submucosal cancer, use of the LCI mode with CV staining confirmed mucosal cancer. Eventually, EMR was conducted and achieved curative resection. In 1 case of sigmoid colon cancer, both conventional and CV magnification endoscopy suggested submucosal cancer. However, mucosal cancer was diagnosed by the novel method, and EMR achieved curative resection.


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