论文部分内容阅读
对３５例位于粘膜和粘膜下层的胃癌患者进行分析。其中９７％（３４例）临床有较长时间慢性“胃病”史，最近症状突然加重。认为对既往体健而近期首发上腹疼痛者，应高度怀疑本病，进一步检查。本文３５例中５例（１４．３％）的周围淋巴结已有转移，且粘膜下胃癌淋巴结转移率为３３．３％。认为位于粘膜和粘膜下层胃癌，同时没有周围淋巴结转移者，才能称为早期胄癌。对早期胃癌术前浸润深度及淋巴结转移的诊断和治疗方案的选择进行了讨论。
Thirty-five patients with gastric cancer located in the mucosa and submucosa were analyzed. Of these, 97% (34 cases) had a long history of chronic “stomach disease”, and the recent symptoms suddenly increased. It is considered that those with previous physical health and recent first episodes of upper abdominal pain should have high suspicion of the disease and further examination. Of the 35 patients, 5 (14.3%) of the peripheral lymph nodes had metastasized and the lymph node metastasis rate was 33.3%. It is believed that gastric cancer in the submucosa and the submucosa and no peripheral lymph node metastasis can be called early cancer. The diagnosis of early gastric invasive depth and lymph node metastasis and the choice of treatment options were discussed.