摘要
目的:探讨早期胃癌与进展期胃癌的临床、内镜及病理特点。方法:回顾性分析两院2003年1月～2010年8月行胃镜活检2 726例,并经病理确诊的236例胃癌患者的临床、内镜、病理资料。结果:早期胃癌平均年龄48.2岁,进展期胃癌平均年龄56岁,男性多于女性(1.8:1),两组胃癌好发部位基本一致;早期胃癌内镜表现不典型,进展期胃癌内镜易于诊断;早期胃癌病理分型以高分化57.1%、中度分化28.6%、低度分化14.3%,进展期胃癌高分化34.2%、中度分化41.4%、低度分化24.4%。结论:早期胃癌临床及胃镜表现不典型,早诊断、早治疗是提高患者5年生存率的关键。
Objective：To discuss the characteristics of clinic,endoscopy and pathology in early and advanced gastric cancers.Methods：To retrospectively analyze the data of 236 cases of gastric cancers verified by pathology and detected out from 2726 cases of gastroscopic biopsy in our 2 hospitals between January 2003 and August 2010.Results：The average age was 48.2 years old in early gastric cancer and 56 years old in advanced gastric cancer.Males were more than females（1.8：1）.The predilection sites were basically same in two groups.The endoscopic manifestations were atypical in early stomach cancer.Advanced gastric cancer was easy to be diagnosed by endoscopy.In the pathological classification,well,middle and poor differentiations were 57.1%,28.6% and 14.3% in early gastric cancer and 34.2%,41.4% and 24.4% in advanced gastric cancer.Conclusion：Early gastric cancer has atypical clinical and gastroscopic performances.Early diagnosis and early treatment are the key to increase the 5-year survival rate.
出处
《现代医药卫生》
2011年第6期830-831,共2页
Journal of Modern Medicine & Health
关键词
早期胃癌
内镜
特点
Early gastric cancer
Endoscopy
Characteristic
