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本文总结1984年至1993年6月手术治疗64例早期胃癌,并将治愈因素分析如下.1 临床病理资料 本组男56例、女8例,年龄23岁~72岁.癌灶在胃C区25例,M区7例,A区32例.三区癌灶位于小弯侧共61例占95.3%.无微小癌,癌灶大小为0.7cm~8.1cm.分型:Ⅰ型12例、Ⅱa6例Ⅱb7例、Ⅱc20例、Ⅱa+Ⅱb4例、Ⅱc十Ⅲ型6例、Ⅲ型5例、溃疡恶变4例.术后病理:粘膜内癌33例,粘膜下癌31例,淋巴转移分别为6.9%及16.1%.第一站转移5例、第二站转移2例.3例癌旁淋巴管及血管癌浸润.
This article summarizes 64 cases of early gastric cancer treated by surgery from June 1984 to June 1993, and analyzes the cure factors as follows.1 Clinical and pathological data The group of 56 males and 8 females, aged 23 to 72 years old. The lesions are in the gastric C area. In 25 cases, 7 cases were in M area, and 32 cases in area A. Three area tumors located in the small curve side and 61 cases accounted for 95.3%. There were no microcarcinomas, and the tumor size was 0.7cm~8.1cm. Type: Type I, 12 cases. IIa6 cases IIb7 cases, IIc20 cases, IIa+IIb4 cases, IIc ten III type 6 cases, type III 5 cases, ulcer malignant transformation in 4 cases. Postoperative pathology: 33 cases of intramucosal cancer, 31 cases of submucosal cancer, lymphatic metastasis were 6.9% and 16.1%. The first station metastasis 5 cases, the second station metastasis 2 cases. 3 cases of para-carcinoma lymphatic and vascular cancer infiltration.