67例早期胃癌临床病理特征及预后分析

clinical pathological characteristic and prognosis of 67 early gastric cancer patients

目的:研究早期胃癌患者的临床病理特征及预后因素。方法:回顾性分析我院67例早期胃癌根治术标本的肿瘤直径、浸润深度、肉眼分型、组织学分型、淋巴结数目、淋巴结转移等资料。并对患者进行随访及预后分析。结果:早期胃癌发病高峰为40-59岁,以男性多见。大体分型以凹陷型、浅表型为主,组织学分型以管状腺癌为主,12例伴胃周淋巴结转移,5年生存率为95%,粘膜内癌不伴有胃周淋巴结转移者5年生存率为100%。结论:提高早期胃癌的检出率,降低胃癌死亡率。

Objective：To analyze the clinical characterics and prognosis factors of 67 early gastric cancer. Methods：Data of 67 patients with early gastric cancer were analyzed retrospectively about tumor diameter,depth of invasion, gross type, histological type, number of lymph nodes, lymph node metastasis, etc, and the resalts of follow - up and prognosis. Results： Early gastric cancer incidence peak was 40 - 59 - year - old, male more common. Depression type and superficial type were the main general classification, histological type was tubular adenocarcinoma -based. The 5 - year survival rate of 12 patients with lymph node metastasis of surrounding gastric was 95%. In the patients of mucosa stomach cancer without lymph node metastasis of surrounding gastric ,5 -year survivel rate was 100%. Conclusion：Improving the detection rate of early gastric cancer will reduce mortality of gastric cancer.