老年人进展期胃癌内镜分析

Endoscopic study on advanced cancer of stomach in the elderly

目的：探讨老年人贲门癌和其它部位胃癌的临床内镜病理特征。方法：对本院１０年间经内镜病理证实的老年人贲门癌３０９例和其它胃癌２２１例进行对比分析。结果：老年人贲门癌和其它部位胃癌构成比分别为５８．３％和４１．７％，以６０～６４岁居多，且好发于老年男性，以分化型腺癌为主。两组胃癌主要临床表现、性别分布和肿瘤大体及组织学类型，差异均有显著性（Ｐ＜０．０１和Ｐ＜０．０５）。结论：老年人胃癌多发于贲门部，以分化型腺癌或隆起型胃癌居多。

Objective:To evaluate the clinicopathologic and endoscopic features of cancer in cardia and other parts of stomach in elder persons.Methods:The clinical data of 309 cases with carcinoma in cardia and 221 cases in the other parts of stomach during a ten year period were reviewed.All these cases were confirmed by endoscopic and pathological examinations.Results:The percentages of cancers in cardia and other parts of stomach were 58.3% and 41.7%,higher in male,in the ages from 60 to 64 years.The clinical manifestations sex and the type of carcinoma were statistically significant( P <0.01 and P <0.05) between the 2 groups.Conclusions:Most of gastric carcinoma in the elderly occurs in cardia.Nodular and differentiated adenocarcinoma were predominant histological patterns.