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目的探讨早期胃癌的临床特征和胃镜检查、病理特点,提高胃镜检查准确率。方法回顾性分析东南大学医学院附属江阴医院32例早期胃癌患者的临床表现以及胃镜检查特点和病理结果。结果早期胃癌的临床表现主要为纳差、乏力、上腹部疼痛、腹胀、和黑便等。胃镜检查病变位主要位于胃窦部,占53.13%,镜下分型以IIC型最多,占46.88%。病理类型为高分化管状腺癌15例,中分化腺癌6例,低分化腺癌5例,乳头状腺癌3例,印戒细胞癌3例。结论结合临床表现,胃镜检查和组织病理检查是诊断早期胃癌的可靠方法。
Objective To investigate the clinical characteristics of early gastric cancer and gastroscopy, pathological features, improve gastroscopy accuracy. Methods Retrospective analysis of 32 cases of early gastric cancer in Jiangyin Hospital Affiliated to Southeast University School of Medicine clinical features and characteristics of endoscopy and pathological findings. Results The clinical manifestations of early gastric cancer were mainly anorexia, fatigue, upper abdominal pain, bloating, and melena. Gastroscopy lesion located mainly in the antrum, accounting for 53.13%, IIC most type of microscopic, accounting for 46.88%. Pathological types of well-differentiated tubular adenocarcinoma in 15 cases, 6 cases of moderately differentiated adenocarcinoma, poorly differentiated adenocarcinoma in 5 cases, papillary adenocarcinoma in 3 cases, signet ring cell carcinoma in 3 cases. Conclusion Combined with clinical manifestations, gastroscopy and histopathology are reliable methods for the diagnosis of early gastric cancer.