摘要
目的:探讨早期胃癌的内镜和病理学特点,以提高其在内镜下的早期诊断率。方法:分析上海交通大学医学院附属新华医院近10年手术病理证实的早期胃癌78例患者的资料进行分析。结果:早期胃癌内镜下分布以胃窦为主,占61.5%;病变分型以型为主,约占38.5%;病变浸润深度以黏膜下癌较多占64.1%,黏膜内癌占35.9%;组织学分型以管状腺癌占多数38.8%;胃周围淋巴结转移者均见于黏膜下癌,其中以低分化腺癌占多数(57.1%)。结论:内镜检查结合病理学分析对早期胃癌的诊断及治疗方法选择有重要的临床意义。
Objective To analyze the pathological and endoscopic characteristics of early gastric carcinoma in order to improve the diagnostic accuracy of gastric endoscopy for early gastric carcinoma. Methods Seventy-eight patients with early gastric carcinoma from 1995 to 2005 in Xinhua Hospital were included in the study and reviewed in terms of endoscopic appearance and pathologic features. Results Early gastric carcinoma was mainly located at the gastric antrum （61. 5%）.Ⅲ type counted for 38. 5%. The mucosa caicinoma counted for 35. 9% and submucosa 64. 1%, with histologically tubular adenocarcinoma in 38. 8% of the patients. Lymph node metastasis occurred submocosa and poorly differentiated adenocarcinomas composed the major part （57. 1%） in this study. Conclusion Endoscopy combined with pathologic examination is of great value in the diagnosis and treatment of early gastric carcinoma.
出处
《实用诊断与治疗杂志》
2007年第10期732-733,736,共3页
Journal of Practical Diagnosis and Therapy
关键词
胃癌
内镜
病理学
淋巴转移
Early gastric carcinoma
endoscopy
pathology
lymph node metastasis
