早期胃癌85例临床诊治分析

Diagnosis and Treatment of Early Gastric Cancer:Report of 85 Cases

目的 :探讨早期胃癌的诊断、治疗方法及病理特点。方法 :对 1990 - 2 0 0 1年收治的 85例早期胃癌的临床资料进行回顾性分析。结果 :85例患者平均年龄 5 7岁 ,占同期胃癌手术病例的 10 8%。上消造影检出率为 37 5 % ,胃镜检查加活检的检出率为 91 7%。行胃癌D1根治术 12例 ,D2 根治术 73例。肿瘤病灶大小平均为 1 97cm ,以凹陷型居多 (6 0 % ) ,淋巴结转移者占 7 1%。术后 5及 10年生存率为 93 7%和 87 0 %。结论 :早期胃癌行胃癌根治手术治疗的预后较好 ,对胃癌高危患者积极开展纤维胃镜检查是提高早期胃癌检出率的关键。

Objective To investigate the diagnosis,pathology and treatment of early gastric cancer(EGC).Methods:The clinical data of 85 cases from 1990 to 2001 were analyzed retrospectively.Results The incidence of EGC was 10.8% of resected cancers.The median age was 57 years.The diagnosis rates of gastric barium examination and gastroscopy with biopsy were 37.5% and 91.7%. D 1 procedure was performed on 12 patients and D 2 surgery on 73 patients.The median size of tumors was 1.97 cm in diameter,60% of EGC contain a depressed or ulcerated component with types Ⅱc or Ⅲ,or both.The rate of lymph node invasion was 7.1%. Survival rates at 5 and 10 years were 93.7% and 87%.Conclusions The prognosis of EGC with surgical treatment is good.Gastroscopy of patients with epigastric symptoms can detect more cases of EGC.