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本文报道安徽省19所医院近8年经纤维胃镜检查并经病理检查证实的各型胃癌2978例。19所医院中的10所医院资料提供胃镜检查总数共19231例,检出胃癌1700例,检出率5.30～14.00％,平均为8.83％。 胃镜检查:按Borrmann氏分型,Ⅰ型35.50％,Ⅲ型28.90％,其他型35.60％。癌灶多为不规则,大于2cm伴出血及糜烂。病变部位以贲门胃底最多42.46％。胃体28.57％,胃窦20.92％。胃角4.85％,幽门3.20％。 病理组织学分类:高分化腺癌63.20％,低分化腺癌19.20％,粘液癌5.90％,鳞癌5.90％,印戒细胞癌及未分化癌各为2.40％。 本文共检出早期胃癌35例,占总检出数的1.17％,较国内其他地区报导为低。
This paper reports on 2978 cases of gastric cancer confirmed by pathological examination in 19 hospitals in Anhui Province in the past 8 years. The data from 10 hospitals in 19 hospitals provided a total of 19,231 gastroscopy examinations and detected 1,700 cases of gastric cancer. The detection rate was 5.30 to 14.00%, with an average of 8.83%. Gastroscopy: According to Borrmann’s classification, type I was 35.50%, type III was 28.90 percent, and other types were 35.60%. The foci are mostly irregular, larger than 2cm with bleeding and erosion. Lesions were up to 42.46% with gastric cardia. Gastric body 28.57%, gastric antrum 20.92%. Stomach angle 4.85%, pyloric 3.20%. Histopathological classification: 63.20% of well differentiated adenocarcinoma, 19.20% of poorly differentiated adenocarcinoma, 5.90% of mucinous carcinoma, 5.90% of squamous cell carcinoma, and 2.40% of signet-ring cell carcinoma and undifferentiated carcinoma. In this article, 35 cases of early gastric cancer were detected, accounting for 1.17% of the total number of detected cases, which was lower than that reported in other regions in China.