上消化道同时性多原发癌46例胃镜和临床特征分析

Analysis of endoscopic and clinical features of 46 cases of multiple synchronous upper gastrointestinal cancer

目的分析上消化道同时性多原发癌的胃镜和临床特点,提高早期诊断率。方法回顾分析了46例上消化道同时性多原发癌的临床及胃镜资料。结果本组病例发病高峰年龄为60~69岁,好发部位依次是食管、贲门、胃角。胃镜下可见癌灶以隆起型居多,其次是凹陷型,色泽变化是早期多灶癌最显著的特征之一。结论早期癌的发现对施行内镜下黏膜切除有重大意义,可疑人群的色素放大胃镜、超细胃镜的检查对上消化道同时性多原发癌的早期诊断很有价值。

Objective To analyze the endoscopic and clinical features of 46 cases of multiple synchronous upper gastrointestinal cancers so as to improve the early diagnosis rate.Methods Retrospective analysis was means of clinical and endoscopy of 46 cases with multiple synchronous upper gastrointestinal cancers.Results The fastigium age of the patients was from 60 to 69 years old.Occurance was frequently located in esophagus,cardia and bugle of stomach.Under gastroscopy,most of the cancers were eminence types and the...