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Analysis of microvascular density in early gastric carcinoma using magnifying endoscopy with narrow-band imaging

机译:早期胃癌微血管密度的窄带成像放大内镜分析

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Background and study aims: Intramucosal vascular density differs between differentiated and undifferentiated type gastric carcinomas. This study aimed to evaluate the microvascular density characteristics of these two types of carcinoma using magnifying endoscopy with narrow-band imaging (ME-NBI). Patients and methods: In total, 42 differentiated and 10 undifferentiated types were evaluated. The microvessels observed using ME-NBI were extracted from stored still images and the microvascular density in the two carcinoma types was analyzed. Histological vascular density in resected specimens was also evaluated using CD34 immunostaining. Results: There were significant differences between the microvascular density in the differentiated and undifferentiated types of carcinoma (10.02?±?4.72?% vs 4.02?±?0.40?%; P?
机译:背景与研究目的:分化型和未分化型胃癌的粘膜内血管密度不同。这项研究的目的是使用带窄带成像的放大内窥镜(ME-NBI)评估这两种类型的癌症的微血管密度特征。患者和方法:总共评估了42种分化型和10种未分化型。从存储的静止图像中提取使用ME-NBI观察到的微血管,并分析两种癌症类型的微血管密度。还使用CD34免疫染色评估了切除标本的组织学血管密度。结果:使用ME-NBI,在分化型和未分化型癌中,微血管密度之间存在显着差异(10.02%±4.72 %% vs 4.02%±0.40 %%; P <0.001)。组织学评估的血管密度在分化型和未分化型之间在整个粘膜(5.81±±3.17%)对3.25(±2.51±1.21%)和浅层粘膜层(0≤-100mm)上也有显着差异(6.38) ≤±3.73%±3.66±1.46%。但是,用ME-NBI和组织学评估的周围非癌性粘膜的血管密度在分化中明显低于未分化类型(P <0.001)。 ME-NBI与组织学评估的整个微血管密度(r = 0.740; P 0.001)和浅层粘膜层(r = 0.764; P <0.001)之间有很好的一致性。在八名患有分化型癌的患者中发现了白色不透明物质(WOS)。在几乎所有的WOS病例中,癌的外观都会变色。结论:ME-NBI评估的微血管密度与组织学评估的黏膜层血管密度之间存在密切关系。使用ME-NBI评估的分化型和未分化型癌症之间的微血管密度显着不同。

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