北京大学首钢医院病理科精准助力消化道早癌诊断

2020-06-12 佚名 北京大学首钢医院

随着我国癌症发病率的上升,如何应对癌症成为一个棘手的问题。目前来说,应对癌症最重要的还是预防和癌症的早发现、早治疗。如果能在癌症的早期就能够发现诊断并采取及时的治疗措施,往往可以达到有效治疗的目的。所

随着我国癌症发病率的上升,如何应对癌症成为一个棘手的问题。目前来说,应对癌症最重要的还是预防和癌症的早发现、早治疗。如果能在癌症的早期就能够发现诊断并采取及时的治疗措施,往往可以达到有效治疗的目的。所以,早期发现癌症就显得非常重要了。

6月5日,在消化内科开展的一例早期胃癌经内镜下粘膜剥离术(ESD)的治疗中,我院病理科团队为临床的治疗提供了最直接的诊断证据,为早癌患者赢得了诊治机会。患者是一位中年男性,因多年上腹不适在门诊完善胃镜检查后,经过消化内科及病理科联合会诊,确诊为高级别上皮内瘤变(癌前病变),一致认为符合ESD适应症。经过充分准备,消化内科团队成功为患者实施ESD,为患者解决了困扰多年的顽疾。

ESD是近年来出现的一项新微创手术治疗手段,治疗早期胃癌与普通外科手术有相似的效果,而采用ESD手段具有创伤小、恢复快的优点,能使部分患者免除传统手术治疗的风险,提高生活质量。整个ESD最终成功的关键一环依赖于专业的病理诊断,病理结果不仅能佐证临床诊断,还对患者的预后及后续的治疗起到至关重要的作用。

本次手术中,病理科全程参与手术过程,采集了完整的组织病理标本,并配合内镜医生完成ESD标本规范化延展和固定,保持标本生理状态下的完整性,避免组织收缩变形。标本送回病理科经充分固定,病理科医生严格取材、制片,再由病理技师进行精准地包埋、切片、染色,使组织的完整形态和进展变化清楚地呈现在医生的显微镜下。在病理医生专业、严谨的判断下,出具出最终定性的诊断结论,为临床工作提供了有利的支撑。

我院早期胃癌ESD治疗的成功开展,得益于消化内科和病理科的精诚合作和密切配合,体现了我院内镜技术和病理技术的精湛精准与快速发展。病理学是疾病诊断的金标准,今后,病理科将继续多角度、全方位参与到医院新技术、新项目的工作中,助力临床科室提升诊疗水平,提升癌症早诊率,为更多患者和家庭带来福音。

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