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目的研究早期胃癌的临床病理特点。方法回顾性分析近年来收治的43例早期胃癌的临床和病理资料。观察肿瘤发生的部位、肉眼分型、浸润深度、组织学分类、伴随病变及淋巴结转移程度等相关病理学指标。结果胃癌多为黏膜内癌;肉眼分型Ⅱ～Ⅲ型为主;早期胃癌好发于胃窦部和胃体部;癌旁有半数以上出现肠上皮化生及伴萎缩性胃炎;淋巴结转移7例(16.3%)。结论既往有胃病史者是早期胃癌的高危人群,早期胃癌的浸润深度、肿瘤大小、伴随的疾病及淋巴结转移是早期胃癌病理诊断的重要参考。
Objective To study the clinicopathological features of early gastric cancer. Methods Retrospective analysis of clinical and pathological data of 43 cases of early gastric cancer admitted in recent years. The tumor location, macroscopic classification, depth of invasion, histological classification, pathological changes accompanied with pathological changes and lymph node metastasis were observed. Results Most of gastric cancers were intramucosal carcinomas. The main types were type Ⅱ ~ Ⅲ. Early gastric cancer occurred in gastric antrum and gastric body. More than half of cancerous tissues showed intestinal metaplasia and atrophic gastritis. Lymph node metastasis Example (16.3%). Conclusions Historically, patients with gastric history were high risk of early gastric cancer. The depth of invasion, tumor size, accompanying diseases and lymph node metastasis of early gastric cancer are important references for pathological diagnosis of early gastric cancer.