早、中期胃癌的临床病理学研究(附75例报告)

Clinical and pathological features of early or middle gastric cancer(with 75 cases)

目的 了解早、中期胃癌的临床、胃镜和病理学特征。方法 回顾性分析我院 11年中经外科手术和病理诊断的 75例早、中期胃癌患者的临床、胃镜、外科手术和病理等方面资料。结果 早、中期胃癌临床表现无特征性 ,男女之比为 2 .41∶1,以 61～ 70岁最多 ,胃窦是其好发部位 ,病理组织学以管状腺癌为多 ,胃镜误诊率是 12 .86%,淋巴转移率是 2 5 .3 3 %。结论 早、中期胃癌有明显的好发年龄和好发部位 ,以管状腺癌为多 ,胃镜误诊的主要原因是不能鉴别病变的良、恶性和准确判断病变量 ,影响淋巴转移的因素是浸润深度、广度、肿瘤大小和年龄 ,而与性别、组织学的分化程度无明显关系。

Objective To study clinical and pathological features of early or middle gastric cancer.Methods Theclinical and pathological features of 75 cases of early or middle gastric canceridentified by pathology were chosen and analysed retrospectively. Results No paticular clinical manifestations were found in patieuts with the early or middle gastric cancer. The ratio of male patients to female was2.41 to 1. The majoritg of patients were between 61 and 70 years old. The majority of gastric cancer originated from gastric antrum. Microscopically tubular adenocarcinomas composed the majority. The rate of misdiagnosis of endoscopy was 12.86%. The rate of lymph node metastasis was 25.33%. Conclusion Early or middle gastric cancer have a rule of the age and the site favorable. The tubular adenocaninomas composed the most part. The major reason of misdiagnosis of endoscopy was that endoscopy could not identity the benign or malignant erosions and the volume of the erosions. The reason that affected the lymph node metastasis is the depth and width of erosion, the volume of tumor and age, while the sex, histological differentiation make no difference.