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目的:分析探讨早期胃癌的临床及病理特征,总结其临床意义,为提高早期胃癌诊断与治疗水平提供依据。方法:回顾性分析2009年4月至2012年4月在我院接受手术治疗的85例早期胃癌患者的临床资料,观察其病灶大小、组织学分型、病理分型、浸润深度、有无淋巴结转移等相关病理学指标。结果:85例患者中,男性发病明显多于女性,以肿瘤直径<3.0cm者多见,组织学分型为中分化腺癌的比例最高,病理分型为Borrmann氏IIc型最高,III型比例次之,浸润深度为黏膜内的比例显著高于黏膜下,大多数患者无淋巴结转移。结论:早期发现、早期诊断、早期治疗仍是防治早期胃癌最重要的措施。
Objective: To analyze the clinical and pathological features of early gastric cancer, summarize its clinical significance, and provide evidence for improving the diagnosis and treatment of early gastric cancer. Methods: The clinical data of 85 patients with early gastric cancer undergoing surgery in our hospital from April 2009 to April 2012 were retrospectively analyzed. The size, histological type, pathological type, depth of invasion, lymph node metastasis Related pathological indicators. Results: Among the 85 patients, the incidence of male was significantly higher than that of female. The tumor diameter was less than 3.0cm. The histological type was the highest in moderately differentiated adenocarcinoma. The pathological type was the highest in Borrmann’s type IIc and the highest in type III The depth of infiltration was significantly higher in the mucosa than in the mucosa, and most patients had no lymph node metastases. Conclusion: Early detection, early diagnosis and early treatment are still the most important measures to prevent and treat early gastric cancer.