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1972年1月至1992年12月收治粘液腺癌37例,与非粘液腺癌285例作临床病理分析.结果两组术后2年内生存率无明显差别.术后3、4、5年生存率粘液腺癌组为59.3、40、40%;而非粘液腺癌组分别为78.5、72.6、65.7%,差异显著.粘液腺癌组预后不良.比较两组的肿瘤大小,肿瘤浸润深度,淋巴结转移无明显差别.分化程度粘液腺癌组,浸润溃疡型多,低分化多,与非粘液腺癌对比(P<0.01),粘液腺癌预后不良的因素与分化程度有关.
From January 1972 to December 1992, 37 cases of mucinous adenocarcinoma were treated, and 285 cases of non-mucinous adenocarcinoma were analyzed by clinicopathology. There was no significant difference in survival rate between the two groups within 2 years after operation. Survival was observed at 3, 4 and 5 years after operation. The rate of mucinous adenocarcinoma group was 59.3, 40, 40%; non-mucinous adenocarcinoma group was 78.5, 72.6, 65.7%, respectively. The difference was significant. The mucinous adenocarcinoma group had a poor prognosis. The tumor size, depth of tumor invasion, and lymph node were compared between the two groups. There was no significant difference in metastasis. The degree of differentiation of mucinous adenocarcinoma group was more infiltration ulcer type and more poorly differentiated than non-mucinous adenocarcinoma (P<0.01). The factors of poor prognosis of mucinous adenocarcinoma were related to differentiation degree.