论文部分内容阅读
报告7.674例胃镜病理活检中发现的40例粘液细胞癌。本组胃癌占同期胃镜检出胃癌(285例)的14%,女性多于男性(21:19),平均年龄46.3岁,较同期其它类型胃癌年轻10岁之多。内窥镜下常表现为糜烂和溃疡,诊断正确率为62.5%。病理组织学见不同病例或同一病例的粘液细胞癌形态不完全一致,粘液组织化学研究表明其粘液性质的异质性,11例呈酸性粘液,6例中性粘液,23例混合性粘液。对粘液细胞癌的组织发生、病理学鉴别诊断及其癌前病变进行了讨论。
Reported the detection of 40 cases of mucinous cell carcinoma found in 7.674 gastroscope biopsies. Gastric cancer in this group accounted for 14% of gastric cancer (285 cases) detected by gastroscopy at the same period, more women than men (21:19), and the average age was 46.3 years. It was 10 years younger than other types of gastric cancer in the same period. Erosion and ulcers often appear under endoscopy, and the diagnostic accuracy rate is 62.5%. Histopathology showed that the morphology of mucinous cell carcinoma was not completely consistent in different cases or in the same case. Mucin histochemical studies showed that the mucinous properties were heterogeneous, with 11 cases of acidic mucus, 6 cases of neutral mucus, and 23 cases of mixed mucus. The histogenesis, pathological differential diagnosis and precancerous lesions of mucinous cell carcinoma were discussed.