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本文分析了24年中发现的6例微小胃癌和12例小胃癌的临床和病理特点。认为某些微小胃癌患者临床症状不明显,应适当放宽胃镜检查指征,特别对胃癌高危人群;对可疑病灶,内窥镜活检取材必须取准、取深,并作多块活检。病理活检胃粘膜重度异型增生两次以上可考虑手术治疗。
This article analyzed the clinical and pathological features of 6 cases of small gastric cancer and 12 cases of small gastric cancer found in 24 years. The clinical symptoms of some patients with small gastric cancer are considered to be insignificant, and indications for gastroscopy should be appropriately relaxed, especially for high-risk groups of gastric cancer. For suspicious lesions, endoscopic biopsy samples must be taken accurately and deeply, and multiple biopsies should be performed. Pathological biopsy of severe gastric dysplasia more than two times can be considered surgical treatment.