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目的 探讨胃类癌的临床、病理及影响预后因素。方法 1968年 1月至 1993年 1月天津医科大学附属肿瘤医院收治胃类癌 2 2例 ,占同期胃肿瘤的 0 3 6% (2 2 / 60 98) ,所有病例均经手术切除 ,对患者进行随访 ,并评价其治疗效果、临床进程和随访结果报告。结果 胃类癌以上腹痛(77 3 % ) ,呕血和 (或 )黑便(5 4 5 % )为主要临床表现。胃远端大部根治切除术 11例 ,大部切除 7例 ,近端胃大部切除 2例 ,全胃切除 2例。胃类癌一般瘤体较小 ,小于 2cm者占 5 4 0 % ,2～ 5cm者占3 2 4 % ,大于 5cm者占 13 6%。结论 胃类癌术前不易诊断 ,其预后与肿瘤大小、有无肝转移、远处转移有关。手术切除是有效的治疗手段 ,术后 5年存活率达 5 9 1%。
Objective To investigate the clinical, pathological and prognostic factors of gastric carcinoid. Methods From January 1968 to January 1993, Tianjin Medical University Affiliated Tumor Hospital admitted 22 cases of gastric carcinoids, which accounted for 0.36% (2 2 / 60 98) of gastric tumors in the same period. All cases were surgically removed. Follow-up and evaluate the treatment effect, clinical progress and follow-up report. Results Abdominal pain (77. 3%), hematemesis and (or) melena (54.5%) were the main clinical manifestations. In the distal part of the stomach, radical resection was performed in 11 cases, subtotal resection in 7 cases, proximal gastrectomy in 2 cases, and total gastrectomy in 2 cases. Gastric carcinoid tumors generally have smaller tumors, accounting for 54.0% of those less than 2cm, 32.4% of those with 2 to 5cm, and 136% of those with more than 5cm. Conclusion Gastric carcinoma is difficult to be diagnosed before surgery, and its prognosis is related to tumor size, liver metastasis, and distant metastasis. Surgical resection is an effective treatment and the 5-year survival rate is 5.91%.