摘要
目的研究胃黏膜高级别上皮内瘤变在早期胃癌诊断中的意义。方法回顾性分析我院自2002年起引入上皮内瘤变后诊断为高级别上皮内瘤变58例的临床资料。结果术后病理证实为腺癌者43例,占74.1%(43/58)。其中,贲门胃底部术后证实为腺癌占72.2%(13/18),胃体占88.9%(24/27),胃窦占46.2%(6/13)。侵犯黏膜及黏膜下的早期胃癌共28例,占术后诊断胃癌的65.1%,占所有病人的48.3%。结论胃黏膜高级别上皮内瘤变的推广可以提高早期胃癌的检出率。
Objective To investigate the role of gastric high-grade intraepithelial neoplasia （HGIEN）in the diagnose of early gastric cancer. Methods Retrospective analysis was performed on the clinical data of 58 patients with gastric HGIEN confirmed by biopsy since 2002. Results Fortythree cases （74. 1 M）were diagnosed as adenocarcinoma after operation, including 13 cases in cardia and fundus of stomach（13/18,72. 2 %） ,24 cases in body of stomach（24/27,88. 9 %） ,6 cases in sinus verntriculi（6/13,46.2 %）. There were 28 cases of early gastric cancer invading mucosa and submucosa, accounting for 65. 1% of cases of cancer confirmed after Operation, and 48. 3% of all of the cases. Conclusion Generalization of HGIEN examination can elevate the detection rate of early gastric cancer.
出处
《腹部外科》
2009年第2期100-101,共2页
Journal of Abdominal Surgery
关键词
胃肿瘤
诊断
高级别上皮内瘤变
Stomach neoplasms
Diagnosis
High-grade intraepithelial neoplasia
