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目的总结早期胃癌的临床内镜特征及病理特征,提高早期胃癌的检出率。方法回顾性分析铜陵市第四人民医院2001年至2013年胃镜检查及术后确诊64例早期胃癌患者的临床资料。结果 64例早期胃癌内镜分型以Ⅱc型居多,Ⅲ型次之。发病部位由高到低依次为胃窦、胃体、胃角、贲门,病理分析以低分化腺癌最多。结论早期胃癌无临床特异性症状,及时胃镜检查、随访和胃黏膜活检,可提高检出率。
Objective To summarize the clinical endoscopic features and pathological features of early gastric cancer and to improve the detection rate of early gastric cancer. Methods The clinical data of 64 cases of early gastric cancer diagnosed by gastroscopy and postoperative diagnosis from 2001 to 2013 in Fourth People’s Hospital of Tongling City were retrospectively analyzed. Results The endoscopic types of 64 cases of early gastric cancer were mostly type Ⅱc and type Ⅲ. Pathogenic parts from high to low in turn for the antrum, body, stomach, cardia, pathological analysis of poorly differentiated adenocarcinoma up. Conclusion Early gastric cancer without clinical specific symptoms, timely gastroscopy, follow-up and gastric biopsy can increase the detection rate.