本文对病理确诊的46例幽门癌之特征,手术选择,胃镜识别及早期诊断进行了探讨,凡镜下见类炎症之粗糙粘膜,直径0.8—1.5cm的息肉及小于2.5cm的溃疡,若前二者充血水肿糜烂或息肉蒂宽;后者规则深陷、边微隆、底洁。均须多处活检及刷片检查,病理疑为癌或重度间变者,应以癌视之,尽早手术。 This article discusses the characteristics of 46 cases of pathologically diagnosed pylorus carcinoma, surgical selection, gastroscopy identification and early diagnosis. Where the microscope sees rough inflammation of the type of inflammation, polyps 0.8-1.5cm in diameter and ulcers less than 2.5cm. The two are congested, edematous, erosive, or have a polyp pedicle width; the latter is ruled deeply, with micro-long edges and bottoms. All patients must have multiple biopsies and brush examinations. Pathologically suspected cancers or severely indeterminate patients should be treated with cancer as soon as possible.