PT  - JOURNAL ARTICLE
AU  - Hou, Jun
AU  - Chen, Zhifeng
AU  - Guo, Cuilan
AU  - Li, Shaosen
AU  - Bai, Wenlong
AU  - Jin, Guoliang
AU  - Wang, Yuxia
AU  - Meng, Fanshu
AU  - Gao, Feng
AU  - Lu, Xujing
AU  - Wang, Zhifang
AU  - Kuang, Gang
TI  - A Survey of Esophageal Cancer in Cixian County of Hebei Province
DP  - 2004 Feb 01
TA  - Chinese Journal of Clinical Oncology
PG  - 27--31
VI  - 1
IP  - 1
4099  - http://www.cancerbiomed.org/content/1/1/27.short
4100  - http://www.cancerbiomed.org/content/1/1/27.full
SO  - Cancer Biol Med2004 Feb 01; 1
AB  - OBJECTIVE To characterize the histologic types of esophageal cardiac mucosa by endoscopic survey In a high-risk cancer area of China.METHODS An endoscopic survey with Lugol’s staining was carried out in Cixian County, Hebei Province from December 2001 to May 2002. The data were processed using computer SPSS 10.0 software.RESULTS The incidences of mild esophagitis, moderate esophagitis and severe esophagitis were for 2013 cases, 34.9%(703), 1,6%(33) and 0.1 % (2) respectively; those with mild dysplasia, moderate dysplasia, severe dysplasia of the esophagus were 8.6% (172), 7.8% (157) and 2.6% (53) respectively; those with carcinoma in situ, intramucosal carcinoma, invasive squamous carcinoma of the esophagus were 2.5%(50), 0.2% (4) and 0.7%(14) respectively. The histologic-detecting rates of non-atrophic gastritis, and atrophic gastritis of the cardia were 36.3%(730), 11.5% (232) respectively; those with mild dysplasia, severe dysplasia of the cardia were 2.5%(51), 0.8%(17) respectively; those with intramucosal adenocarcinoma, invasive adenocarcinoma of the cardia were 0.1% (3), 0.8%(17) respectively. The early-detection rate of esophageal cancer was 79.4%(54/68). The survey rate(examined population to covered population) was 73.8% (2013/2725).CONCLUSIONS Esophageal endoscopic screening with Lugol’s solution staining has an advantage over esophageal balloon cytology, in that the histological diagnoses of esophageal cardiac diseases can be obtained, thus contributing to the prevention of subsequent disease. In using the staining method the detection rate of early esophageal cancer is higher than that revealed by balloon cytology.