蓝光成像放大内镜下误诊为早期胃癌的胃血吸虫病一例

A case of gastric schistosomiasis misdiagnosed as early gastric cancer by electronic staining magnifying endoscopy

摘要:

胃血吸虫病是血吸虫虫卵侵犯消化道黏膜并在胃壁沉积所引起的急慢性特异性炎性病变。该病少见，且临床及内镜表现缺乏特异性，故有时较难诊断。随着胃镜检查的普及与诊断技术的提高，该病的病例报道逐渐增多，但胃血吸虫病与胃癌的关系尚不清楚。本文报道1例蓝光成像放大内镜下误诊为早期胃癌的胃血吸虫病，并进行文献复习，以提高临床医师对该疾病的认识。

Abstract:

Gastrointestinal schistosomiasis is an acute or chronic inflammatory disease caused by schistosome eggs invading the digestive tract mucosa and depositing in the stomach wall. Gastrointestinal schistosomiasis is rare and lacks of specific clinical and endoscopic performances, which leads to difficulties of clinical diagnosis. Clinicians have insufficient understanding of their clinical and endoscopic findings, so lesions are often misdiagnosed. With the popularity of gastroendoscopy and the development of diagnostic techniques, there has been an increase in the number of reported cases of this kind of disease. There have been different opinions on whether gastric schistosomiasis is a precancerous lesion, the relationship between gastric schistosomiasis and gastric cancer is still not clear. A case of gastric schistosomiasis misdiagnosed as early gastric cancer(EGC) under electron-staining magnifying endoscopy (blue laser imaging) in my hospital is reported below to improve clinicians understanding of the disease.