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从1946至1979年,曾行胃癌切除术7,220例,其中属多发性胃癌468例(占6.5%),符合Moertel 标准所谓的同时多发性胃癌约计178例,作者对此178例早期胃癌进行回顾分析。178例中,有肿瘤2个者135例,3个者33例,4个者10例。早期胃癌的定义是指病变仅侵袭粘膜或粘膜下层,无淋巴结转移。共分为三型:Ⅰ型(突出型);Ⅱ型(浅表型);Ⅲ型(溃疡型)。Ⅱ型再分有3个型:Ⅱa为抬高型,Ⅱb为扁平型,Ⅱc为下陷型。常有上述类型的综合,例如Ⅱa+Ⅱb型,Ⅱc+Ⅲ型。一般Ⅱa型突起部份不
From 1946 to 1979, there were 7,220 cases of gastric cancer resection, of which 468 cases (6.5%) were multiple gastric cancers, and 178 cases were consistent with the so-called simultaneous multiple gastric cancers of the Moertel standard. The authors retrospectively analyzed 178 cases of early gastric cancer. . Among the 178 cases, there were 135 cases with tumors, 33 cases with 3 cases, and 4 cases with 10 cases. The definition of early gastric cancer means that the lesion only invades the mucosa or submucosa without lymph node metastasis. There are three types: Type I (protruding); Type II (superficial); Type III (ulcer). Type II is subdivided into 3 types: IIa is elevated, IIb is flat, and IIc is subsidence. There are often the above types of synthesis, such as IIa+IIb type, IIc+III type. General type IIa protrusions are not