摘要
目的探讨胃类癌的外科诊断与治疗方法。方法回顾性分析１９８３～１９９７年１５年间９例胃类癌的临床资料。结果９例胃类癌中，恶性５例，良性４例。６例患者术前经胃镜病理证实为胃类癌，有２例出现恶性类癌综合征的表现，但５羟色胺和５羟吲哚乙酸正常。８例患者接受择期手术。胃类癌与慢性萎缩性胃炎、恶性贫血存在一定的关系。结论肿瘤大小、有无浸润及远处转移是判断胃类癌良恶性的主要依据。胃类癌的恶性程度是影响预后的主要因素。手术治疗为其首选的治疗方法。
Objective To explore the relationship between the biological behavior and prognostic factors in treating gastric cancer of young persons by vairous surgical methods. Methods 89 young patients with gastric cancer aged 35 years or less were analyzed. Results The resectable rate was 73 0%(65/89), radical resectable rate 48 3%(43/89), and palliative resectable rate 24 7%(22/89). The 5 year survival rate was 24 7%(22/89) and 48 8%(21/43) for the radical group. Biological characteristics included infiltrated, diffused growth,lymph node matastasis, femal predominance. Conclusions The biological behavior of gastric cancer in young persons is poor. Early management gastric cancer and radical operation combined with complex treatment are essantial.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第3期151-153,共3页
Chinese Journal of Surgery
关键词
类癌
胃肿瘤
诊断
外科手术
Stomach neoplasm Pathology,clinic Treatment outcome Prognosis
