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経腹部超音波検査による胃癌の壁深達度評価
https://repository.lib.tottori-u.ac.jp/records/5858
https://repository.lib.tottori-u.ac.jp/records/5858c34bab05-6f54-473a-9e70-495e400ffb0c
| 名前 / ファイル | ライセンス | アクション |
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本文 : Full Text (1.9 MB)
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要旨 : Summary (536.8 kB)
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審査結果要旨 : Summary of Thesis Review (493.2 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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| 公開日 | 2018-06-22 | |||||
| タイトル | ||||||
| タイトル | 経腹部超音波検査による胃癌の壁深達度評価 | |||||
| 言語 | ja | |||||
| タイトル | ||||||
| タイトル | Transabdominal ultrasonography for assessing the depth of tumor invasion in gastric cancer | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題 | depth of tumor invasion | |||||
| キーワード | ||||||
| 主題 | endoscopic ultrasonography | |||||
| キーワード | ||||||
| 主題 | gastric cancer | |||||
| キーワード | ||||||
| 主題 | ruptured form of the third layer | |||||
| キーワード | ||||||
| 主題 | transabdominal ultrasonography | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | depth of tumor invasion | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | endoscopic ultrasonography | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | gastric cancer | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | ruptured form of the third layer | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | transabdominal ultrasonography | |||||
| 資源タイプ | ||||||
| 資源タイプ | doctoral thesis | |||||
| アクセス権 | ||||||
| アクセス権 | open access | |||||
| 著者 |
佐藤, 研吾
× 佐藤, 研吾 |
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| 抄録 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Background: Although endoscopy and endoscopic ultrasonography are generally used to diagnose the depth of gastric tumor invasion, endoscopy is invasive and frequently results in patient discomfort. Transabdominal ultrasonography (TUS) is noninvasive and may be useful in determining this depth. We investigated the usefulness of TUS in determining the depth of tumor invasion in patients with gastric cancer. Methods: This retrospective study included 190 patients with gastric cancer and 200 lesions who underwent curative resection at the Department of Gastrointestinal Surgery of Tottori University Hospital from July 2007 to July 2015. The results of conventional diagnostic imaging and TUS were compared with those of pathological analysis obtained after surgery. Furthermore, the ruptured form of the third layer on TUS imaging was reviewed and investigated to differentiate between the SM2 and MP lesions. Results: The accuracy of TUS was similar to that of conventional diagnostic imaging for all depths of tumor invasion. Eight lesions could not be assessed by TUS, including four that could not be identified and four in which TUS was unable to diagnose the depth. In cases where the ruptured form of the third layer could be determined in MP lesions, the forms were observed toward the inside of the gastric lumen. Conclusion: The results of this study suggested that the accuracy of TUS was equivalent to that of conventional diagnostic imaging in determining the depth of tumor invasion. TUS assessment criteria may be useful to classify this depth. Furthermore, the ruptured form of the third layer is believed to be important in distinguishing between early and advanced gastric cancer. | |||||
| 学位名 | ||||||
| 言語 | ja | |||||
| 学位名 | 博士(保健学) | |||||
| 学位授与機関 | ||||||
| 学位授与機関識別子Scheme | kakenhi | |||||
| 学位授与機関識別子 | 15101 | |||||
| 言語 | ja | |||||
| 学位授与機関名 | 鳥取大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2017-09-30 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲第33号 | |||||
| 権利 | ||||||
| 権利情報 | 注があるものを除き、この著作物は日本国著作権法により保護されています。 | |||||
| 情報源 | ||||||
| 関連名称 | Kengo Sato, Hiroaki Saito, Kazuo Yashima, Hajime Isomoto and Yasuaki Hirooka. Transabdominal ultrasonography for assessing the depth of tumor invasion in gastric cancer. Yonago Acta Medica, 2017, 60, pp.154-161 | |||||
| 関連サイト | ||||||
| 識別子タイプ | URI | |||||
| 関連識別子 | http://www.lib.tottori-u.ac.jp/yam/yam/yam60-3/60-3contents.html | |||||
| 関連名称 | http://www.lib.tottori-u.ac.jp/yam/yam/yam60-3/60-3contents.html | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
