胃癌肿瘤直径大小与淋巴结转移的关系研究

Relations research in tumor diameter of gastric cancer and lymphatic metastasis

目的探讨肿瘤直径大小与胃癌淋巴结转移的关系。方法对44例胃癌患者术前施行超声检查,术后收集患者的病理结果,对胃癌肿瘤大直径组及小直径组胃癌患者的淋巴结转移情况进行分析。结果肿瘤直径大小≥4 cm的胃癌患者和肿瘤大小<4 cm的胃癌患者在年龄、性别、职业、肿瘤分期、远处转移情况上都没有统计学差异(P>0.05)。在区域内淋巴结转移的数量上,不同N分期的肿瘤直径大小上存在差异(P<0.05)。结论肿瘤直径越大,淋巴结转移率越高;N分期越大,肿瘤直径越大。

Objective To probe in the relationship between tumor diameter size of gastric cancer and lymphatic metastasis. Methods 44 patients with gastric cancer underwent ultrasonic examination before operation,and postoperative pathological results were collected,then the lymphatic metastasis status was analyzed in the group with large tumor diameter size and the group with small tumor diameter size. Results There was not statistical difference in age,gender,occupation,tumor stage,and distant metastasis among the patients with gastric tumor diameter size ≥4 cm and gastric tumor diameter size 4 cm（P〉 0.05）.In the number of regional lymphatic metastasis and tumor diameter size in different N stages,there were differences（P〈 0.05）.Conclusion The larger the tumor diameter size,the higher rate of lymphatic metastasis;the larger the N staging,the larger the tumor diameter size.