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目的 探讨胃类癌的诊断、病理学特点及治疗选择。方法 回顾性分析 1 989～ 2 0 0 3年 1 4年间 2 1例胃类癌的临床资料。结果 2 1例胃类癌中 ,1例患者术前经胃镜病理证实为胃类癌 ,有 1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。 2 1例患者接受择期手术。随访 0 .5～ 1 4年 ,死亡 6例 ,均死于类癌复发及广泛转移。结论 胃镜检查是术前发现胃类癌的重要手段 ,病理学诊断是确诊的主要方法。胃类癌的治疗由肿瘤大小、浸润范围、生物学行为而定
Objective To investigate the diagnosis, pathological features and treatment options of gastric carcinomas. Methods The clinical data of 21 gastric carcinomas from 1989 to 2003 were retrospectively analyzed. Results Among the 21 cases of gastric carcinomas, 1 patient had gastric cancer confirmed by gastroscopy before operation, and 1 had malignant carcinoid syndrome, but 5 - hydroxytryptamine and 5 - hydroxyindoleacetic acid were normal. Twenty-one patients underwent elective surgery. Follow-up 0.5 to 14 years, 6 died, all died of recurrence of carcinoid and extensive metastasis. Conclusion Gastroscopy is an important method to detect gastric carcinomas before operation. Pathological diagnosis is the main method of diagnosis. Gastric cancer treatment by tumor size, infiltration range, biological behavior may be