影响消化道早癌病理诊断准确性的体会  

Experience on the factors affecting the accuracy of early gastrointestinal cancer pathological diagnosis

作　　者：陈光勇[1] Chen Guangyong(Department of Pathology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院病理科,北京100050

出　　处：《临床与实验病理学杂志》2025年第3期281-284,共4页Chinese Journal of Clinical and Experimental Pathology

基　　金：国家重点研发计划(2023YFC2507400、2023YFC2507406);北京研究型病房卓越计划(BRWEP 2024W162020100、BRWEP2024W162020114)。

摘　　要：消化道早癌病理诊断精准程度是消化道早癌诊断和治疗的影响因素之一。影响病理诊断准确性的因素众多,笔者总结日常病理诊断过程中几个需要特别重视的方面,比如病理申请单的规范填写、送检样本的代表性和数量、标本的适当处理和病理医师对消化道早癌病理诊断标准的准确掌握等。消化道早癌的精准病理诊断需在消化道早癌“全链条”理念指导下,内镜和病理医师在诊治各流程、各环节密切配合,对患者进行精准的诊断和治疗。The precision of pathological diagnosis for early gastrointestinal cancer is a critical determinant in the diagnosis and treatment of this condition.Several factors influence diagnostic precision.Based on clinical experience,the author highlights key aspects that require special attention in routine pathological diagnosis,including the standardized completion of pathological application forms,the representativeness and adequacy of biopsy,appropriate specimen handling,and pathologists’proficiency in the diagnostic criteria for early gastrointestinal cancer.Achieving precise pathological diagnosis of early gastrointestinal cancer necessitates adherence to the“full chain”approach,with close collaboration between endoscopists and pathologists at all stages of diagnosis and treatment,ultimately ensuring precise patient management.

关 键 词：消化道早癌 病理诊断 内镜下黏膜切除 

分 类 号：R735[医药卫生—肿瘤] R602[医药卫生—临床医学]