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目的分析2 338例胃癌手术患者的临床病理特征。方法回顾性分析2 338例胃癌患者的临床资料。患者分为年龄≤40岁(A组)、41-65岁(B组)和>65岁(C组)三组,比较肿瘤部位、病理类型和临床分期。结果胃癌高发年龄41-65岁,男性比例高于女性。肿瘤多见于贲门胃底部(42.48%)。肿瘤以BormannⅡ型多见(75.44%),病理类型以腺癌为主(90.03%)。肿瘤分化程度以低分化为主(74.25%)。胃癌浸润深度以T3期主(64.6%)。淋巴结转移以N0、N1期为主(85.31%)。TNM分期以Ⅲ期为主(48.47%)。结论胃癌高发于41-65岁男性。胃癌病理分型以低分化腺癌最常见。确诊患者多为胃癌中晚期,胃癌早期诊断率有待提高。
Objective To analyze the clinicopathological features of 2 338 gastric cancer patients. Methods The clinical data of 2 338 gastric cancer patients were retrospectively analyzed. Patients were divided into three groups of age ≤40 years old (group A), 41-65 years old (group B) and> 65 years old (group C). The tumor location, pathological type and clinical stage were compared. Results The high incidence of gastric cancer 41-65 years old, the proportion of men than women. Tumor more common in the cardia stomach bottom (42.48%). Bormann Ⅱ tumor was more common (75.44%) and adenocarcinoma was the main pathological type (90.03%). The degree of tumor differentiation was poorly differentiated (74.25%). The depth of invasion of gastric cancer was T3 (64.6%). Lymph node metastasis in the N0, N1-based (85.31%). The TNM stage was mainly stage III (48.47%). Conclusions Gastric cancer is high in men aged 41-65 years. Pathological type of gastric cancer with poorly differentiated adenocarcinoma is the most common. Mostly diagnosed patients with advanced gastric cancer, early diagnosis of gastric cancer to be improved.