摘要
目的:探讨早期胃癌的诊断和治疗特点,并分析其预后的影响因素。方法:回顾性的分析本院1998年至2002年在本院行外科治疗的128例早期胃癌。结果:早期胃癌的诊断发现主要依靠胃镜检查(93.0%)和上消化道造影(78%),确诊主要依据胃镜活检及术中活检。5年总生存率为90.9%。黏膜内癌和黏膜下癌的淋巴结转移率分别为43%和24%,P<0.01,而5年生存率分别为93.1%和88%,无淋巴结转移组和有淋巴结转移组的5年生存率分别为94.2%和73.3%。结论:胃镜检查和上消化道造影是发现和诊断早期胃癌的主要手段。肿瘤的浸润深度和淋巴结转移存在显著的相关性,浸润深度和淋巴结是否转移对预后的影响不明确。
Objective： The detection rate of early gastric cancer （EGC） has increased worldwide due to advances in endoscopic techniques and equipment. The prognosis of early gastric carcinoma （EGC） is generally excellent after surgery. The aim of the current study was to discuss the clinical diagnosis and therapy of early gastric cancer, and to investigate the most important prognostic factors of this disease. Methods： Between January 1998 and December 2002, a total of 128 patients with early gastric cancer who underwent surgical procedures were studied in our hospital. Patient data were retrospectively and statistically analyzed. Results： The main diagnosic techniques were gastroscopy（93.0%） and upper digestive tract radiography（78%）. The overall 5-year survival rate was 90.9%. The lymph node metastasis rates of intromucosal cancer （m） and submucosal （sm） cancer were 4.3% and 24%, respectively （P〈0.01）. The 5-year survival rates were 93.1% and 88 %, respectively. The 5-year survival rates were 73.3 % for those with lymph node metastasis and 94.2 % for those without lymph node metastasis. Conclusion： The gastroscopy and upper digestive tract radiography are the primary diagnosic techniques for early gastric cancer. The invasive depth was significantly correlated with the lymph node metastasis. But the invasive depth and the lymph node metastasis are not correlated with the prognosis of early gastric cancer.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2009年第8期199-201,共3页
Chinese Journal of Clinical Oncology
关键词
早期胃癌
诊断
手术
预后
Early gastric cancer
Diagnosis
Surgery
Prognosis
