摘要
对３５例位于粘膜和粘膜下层的胃癌患者进行分析。其中９７％（３４例）临床有较长时间慢性“胃病”史，最近症状突然加重。认为对既往体健而近期首发上腹疼痛者，应高度怀疑本病，进一步检查。本文３５例中５例（１４．３％）的周围淋巴结已有转移，且粘膜下胃癌淋巴结转移率为３３．３％。认为位于粘膜和粘膜下层胃癌，同时没有周围淋巴结转移者，才能称为早期胄癌。对早期胃癌术前浸润深度及淋巴结转移的诊断和治疗方案的选择进行了讨论。
In the Hospital from 1984 to 1992,there were 35 patients with early gastric car-cinoma located in mucosa and submucosa.About 97%of early stage carcinoma showed ei-ther long history of gastric abnormality and sudden deterioration,or appearance of epigastric pain with healthy past history.A11 these conditions were highly suspected to be malignant and needed further inspection.14.3% of the 35 patients, had lymphatic metastasis and the metastatic ratio of submucosa carcinoma was 33.3%.It is suggested that only those mucosa and submucosa carcinoma without lymphatic metastasis could called as early gastric carcino-ma.The depth of infiltration at early stage of gastric carcinoma before operation,the diag-nosis of lymphatic metastasis,and the selection of therapeutic methods are dicussed.
出处
《中日友好医院学报》
1996年第1期73-75,共3页
Journal of China-Japan Friendship Hospital
关键词
胃癌
胃肠道肿瘤
粘膜
切除术
carcinoma
gastrointestinal neoplasms
gastrectomy
