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目的探讨早期胃癌的特点。方法总结我院2007年5月至2010年6月以来经胃镜检查并经病理确诊的早期胃癌38例。就临床症状、镜下分型、病理分化程度等资料进行分析。结果 35～44岁早期胃癌共6例,占15.8%,45～54岁早期胃癌共9例,占23.7%,55～64岁早期胃癌共15例,占39.5%,其他年龄组占8例,占21%。癌肿部位贲门胃底癌14例(36.8%),胃体癌10例(26.3%),胃窦癌12例(31.5%),胃角癌2例(5%)。胃镜下分型早期胃癌38例(山田分型),Ⅰ型4例,Ⅱa型6例,Ⅱa+Ⅱc型8例,Ⅱc型+Ⅲ型7例,Ⅲ型13例,病理组织学分型印戒细胞癌12例(31.5%),高分化腺癌10例(26.3%),中分化腺癌9例(23.6%),低分化腺癌5例(13.2%),未分化癌2例(5%)。结论提高早期胃癌检出率,对确诊患者行根治性手术治疗,提高患者存活率。
Objective To investigate the characteristics of early gastric cancer. Methods From March 2007 to June 2010 in our hospital by gastroscopy and pathologically confirmed 38 cases of early gastric cancer. On the clinical symptoms, microscopic classification, pathological differentiation and other data analysis. Results There were 6 cases of early gastric cancer aged 35-44 years old (15.8%). There were 9 cases of early gastric cancer aged 45-54 (23.7%), 15 cases of early gastric cancer aged 55-64 (39.5%), 8 cases of other age groups Accounting for 21%. Fourteen cases (36.8%) had gastric cardia fundus cancer, 10 (26.3%) had gastric cancer, 12 (31.5%) had gastric antrum, and 2 (5%) had gastric cancer. There were 38 cases of early gastric cancer under gastroscopy (Yamada classification), 4 cases of type Ⅰ, 6 cases of type Ⅱ a, 8 cases of type Ⅱa + Ⅱc, 7 cases of type Ⅱc + Ⅲ and 13 cases of type Ⅲ, There were 12 cases of cell carcinoma (31.5%), 10 cases of well differentiated adenocarcinoma (26.3%), 9 cases of moderately differentiated adenocarcinoma (23.6%), 5 cases of poorly differentiated adenocarcinoma (13.2%) and 2 cases of undifferentiated carcinoma ). Conclusion The detection rate of early gastric cancer is increased, and the radical surgery is performed on the diagnosed patients to improve the survival rate of patients.