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目的探讨老年胃癌患者的发病内镜诊断特点及临床病理特征,为老年胃癌患者的早期发现、诊断和及时治疗提供理论依据。方法对2013年1月至2014年1月经胃镜和(或)手术并经病理确诊的137例老年胃癌患者的临床症状、Bormann分型、病变部位、病理分型等方面进行分析。结果老年胃癌患者临床症状以上腹痛为首发症状最为常见,男女之比为3.7:1;病变部位以胃体最多见,其次为贲门;病理分型以低分化腺癌为主,其次为鳞癌;老年胃癌患者发现时多已侵及并穿透浆膜,且发现淋巴结转移。结论老年胃癌发病率高,恶性度高,进展快。应注意老年患者体检,并对胃癌早发现、早诊断,以改善预后。
Objective To investigate the characteristics of endoscopic diagnosis and clinicopathological features of the elderly patients with gastric cancer and provide a theoretical basis for the early detection, diagnosis and timely treatment of elderly patients with gastric cancer. Methods The clinical features, Bormann classification, lesion location and pathological classification of 137 elderly patients with gastric cancer confirmed by endoscopy and / or surgery from January 2013 to January 2014 were analyzed. Results The clinical symptoms of elderly patients with gastric cancer were the most common symptom of abdominal pain. The ratio of male to female was 3.7: 1. The most common lesion was gastric body, followed by cardia. The pathological type was mainly poorly differentiated adenocarcinoma followed by squamous cell carcinoma. Elderly patients with gastric cancer have been found to have invaded and penetrate the serosa, and found that lymph node metastasis. Conclusion The incidence of gastric cancer is high, the malignancy is high and the progress is fast. Should pay attention to elderly patients physical examination, and early detection of gastric cancer, early diagnosis, to improve the prognosis.