The diagnostic value of x-ray methods, endoscopy, oriented gastrobiopsy and brush cytodiagnostics in malignant and benign diseases of the stomach.
Studies in 59 patients with various diseases of the stomach (37 cancerous and 22 non-cancerous ones) are reported and their results commented on. Each of the patients underwent, beside clinical examinations, laboratory tests, and radiography, fibrogastroscopy with oriented gastrobiopsy and brush cytodiagnostics respectively. At the cytologic preparation of the material, three methods have been used: direct smears, smears from sediment as obtained after brush rinsing in alcohol (50%), and paraffine embedding of sediment. Out of 37 patients with carcinoma of the stomach, positive and suspicious data resulted at the clinical examination (chiefly suspected ones) in 27, as against 25 at the X-ray one, and 35 at fibrogastroscopy. Oriented gastrobiopsy yielded positive results in 27 cases, whereas oriented brush cytodiagnostics in 35 out of 37 patients. An evaluation of the various cytologic methods in the diagnostics of cancerous and non-tumorous diseases of the stomach has been made. The complex examination of the patients yields the most accurate diagnosis, contributing to the ascertainment of benign and malignant diseases of the stomach.
D000328:Adult; D000368:Aged; D001706:Biopsy; D005773:Gastroscopy; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging; D013272:Stomach Diseases / Q000175:diagnosis* / Q000473:pathology; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology