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目的:探讨老年人贲门癌和其它部位胃癌的临床内镜病理特征。方法:对本院10年间经内镜病理证实的老年人贲门癌309例和其它胃癌221例进行对比分析。结果:老年人贲门癌和其它部位胃癌构成比分别为58.3%和41.7%,以60~64岁居多,且好发于老年男性,以分化型腺癌为主。两组胃癌主要临床表现、性别分布和肿瘤大体及组织学类型,差异均有显著性(P<0.01和P<0.05)。结论:老年人胃癌多发于贲门部,以分化型腺癌或隆起型胃癌居多。
Objective: To investigate the clinical endoscopic features of gastric cancer in the elderly and other sites. Methods: A comparative analysis of 309 cases of cardiac cancer with 186 cases of gastric cancer and 221 cases of gastric cancer confirmed by endoscopic pathology in our hospital for 10 years. RESULTS: The composition ratios of gastric cardia cancer and other sites of gastric cancer in the elderly were 58.3% and 41.7%, respectively, and most of them were between 60 and 64 years old. These lesions mainly occurred in older men and were mainly differentiated adenocarcinoma. There were significant differences in the main clinical manifestations, gender distribution, and gross and histological types of gastric cancer between the two groups (P<0.01 and P<0.05). Conclusions: The majority of elderly patients with gastric cancer are in the cardia. Most of them are differentiated adenocarcinomas or uplifted gastric cancers.