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对4例原发性胃鳞状细胞癌和腺鳞癌进行临床病理分析,并结合文献对其诊断、尤其组织学起源进行讨论。结果1例胃鳞状细胞癌(胃镜活检材料),另3例胃腺鳞癌有明显的鳞癌与腺癌过渡现象。4例均在诊断后7个月之内死亡。认为对胃鳞状细胞癌,应再次尽可能多取材、多制片以明确是单纯胃鳞状细胞癌或胃腺鳞癌。胃腺鳞癌起源倾向腺癌的鳞状化生,建议病理报告注明鳞癌与腺癌成分各占的比例。
Clinical pathological analysis of 4 cases of primary gastric squamous cell carcinoma and adenosquamous carcinoma were performed, and the diagnosis, especially the histological origin, was discussed in the literature. Results One case of gastric squamous cell carcinoma (gastroscopic biopsy material) and another three cases of gastric adenosquamous carcinoma had significant squamous cell carcinoma and adenocarcinoma transition. All 4 patients died within 7 months of diagnosis. It is considered that for squamous cell carcinoma of the stomach, as much as possible, more materials should be taken and more pieces should be taken to make sure that it is pure gastric squamous cell carcinoma or gastric adenosquamous carcinoma. The squamous metaplasia of adenocarcinoma of gastric adenoid squamous cell carcinoma origin suggests that pathological reports indicate the proportion of squamous cell carcinoma and adenocarcinoma.