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目的探讨胃类癌的诊断、病理学特点及治疗选择。方法对1980～2000年经手术和病理诊断的胃类癌22例临床资料进行分析总结。结果22例中8例术前经胃镜活检确诊,3例术中经快速病理诊断,11例为术后病理证实。全组均予手术治疗,其中2例行局部切除,8例行胃大部切除术,10例为根治性胃大部切除术,1例为全胃切除术,1例做了全胃切除加肝左叶切除术。随访1～10年,死亡9例,其中6例死于类癌复发伴广泛转移;1例伴有胃腺癌者死于胃腺癌复发和转移;1例术后经支气管镜证实合并支气管类癌,而后死于肝转移。结论胃镜检查是术前发现胃类癌的重要手段,病理学诊断是最后确诊的主要方法。胃类癌的治疗取决于肿瘤的大小、浸润程度及生物学行为
Objective To investigate the diagnosis, pathological features and treatment options of gastric carcinomas. Methods The clinical data of 22 cases of gastric carcinomas diagnosed by operation and pathology from 1980 to 2000 were analyzed and summarized. Results Of the 22 cases, 8 cases were diagnosed by gastroscope biopsy before operation, 3 cases were diagnosed by rapid pathology and 11 cases were confirmed by pathology. All the patients were surgically treated, of which 2 cases underwent partial resection, 8 cases underwent subtotal gastrectomy, 10 cases underwent radical gastrectomy, 1 case underwent total gastrectomy and 1 case underwent total gastrectomy Left hepatectomy. Follow-up 1 to 10 years, 9 died, of which 6 died of recurrence of carcinoid tumor with extensive metastasis; 1 case of gastric adenocarcinoma died of gastric adenocarcinoma recurrence and metastasis; 1 case of bronchial carcinomas confirmed by bronchoscopy, He died of liver metastasis. Conclusion Gastroscopy is an important method to detect gastric carcinomas before operation. Pathological diagnosis is the main method of final diagnosis. Gastric cancer treatment depends on the size of the tumor, degree of infiltration and biological behavior