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一、本文通过纤维胃镜检查报告131例胃癌的临床资料、镜下发现、X线检查及病理、细胞学检查结果。二、腹胀、腹痛和食欲减退依次为本组胃癌病例最常见的症状。 3例表浅型早期胃癌的主诉均为胃痛。三、本组X线钡餐检查的胃癌检出率为66%。四、通过纤镜观察,胃癌侵犯的部位以胃体部为最常见(72.8%),胃窦部占17.8%。五、本组的病理组织学分型为:胃腺癌102例,未分化型10例,粘液腺癌14例。六、本组伴有肠上皮化生者38例,其中34例为腺癌,3例为未分化癌。可能分化较好的腺癌与肠上皮化生间的关系较未分化癌更为密切。
First, this article through fiberoptic gastroscopy reported 131 cases of gastric cancer clinical data, microscopic findings, X-ray examination and pathological, cytological examination results. Second, abdominal distension, abdominal pain and loss of appetite were the most common symptoms of gastric cancer in this group. Three cases of superficial early gastric cancer complained of stomach pain. 3. The detection rate of gastric cancer in X-ray barium examination in this group was 66%. 4. Observed by fiberscope, gastric cancer was the most common part of the stomach (72.8%) and gastric antrum (17.8%). 5. The histopathological classification of this group was: 102 cases of gastric adenocarcinoma, 10 cases of undifferentiated type, and 14 cases of mucinous adenocarcinoma. Sixty-eight patients with intestinal metaplasia in this group included 34 cases of adenocarcinoma and 3 cases of undifferentiated carcinoma. The relationship between adenocarcinomas that may be well differentiated and intestinal metaplasia is more closely related to undifferentiated cancers.