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目的探讨早期胃癌的临床病理特点。方法总结2000年以来156例早期胃癌的临床资料进行回顾性分析。结果早期胃癌好发于男性,多位于胃窦部,肉眼分型以IIa型为主,病灶大小多介于1.0～2.0cm,组织学类型以高分化腺癌为主,多伴有癌前病变。结论临床上对胃癌预后的判断,着重于癌灶的大小、组织学类型、分化程度等病理指标的研究;应重视癌前状态的观察和随访,以提高早期胃癌的检出率。
Objective To investigate the clinicopathological features of early gastric cancer. Methods The clinical data of 156 cases of early gastric cancer since 2000 were retrospectively analyzed. Results Early gastric cancer occurred in males and mostly located in the antrum. The type IIa was predominant in the macroscopic type. The size of the lesions ranged from 1.0 to 2.0 cm. The histological types were well-differentiated with adenocarcinoma, mostly accompanied with precancerous lesions . Conclusion The clinical judgment of gastric cancer prognosis focuses on the study of pathological indexes such as tumor size, histological type and differentiation degree. The observation and follow-up of precancerous conditions should be emphasized in order to improve the detection rate of early gastric cancer.