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观察了192例早期胃癌的临床病理特点,其中粘膜内癌103例,粘膜下癌89例。结果显示,早期胃癌多位于胃窦部(42.71%),以凹陷型为主(67.19%),且多为髓样癌(53.13%),组织类型以分化型管状腺癌及印戒细胞癌为主,分别为41.67%及25.52%。浸润型占比例较低(9.90%),但易引起胃壁淋巴管浸润及淋巴结转移。本组早期胃癌胃壁淋巴管浸润率为30.73%,淋巴结转移率为12.50%。女性发病年龄及出现淋巴结转移的年龄均较男性提前。
The clinicopathological features of 192 cases of early gastric cancer were observed, including 103 cases of intramucosal carcinoma and 89 cases of submucosal carcinoma. The results showed that early gastric cancer was mostly located in the gastric antrum (42.71%), mainly in depression (67.19%), and mostly medullary carcinoma (53.13%). The histological type was differentiated tubular adenocarcinoma. Signet-ring cell cancers were predominant, with 41.67% and 25.52%, respectively. The proportion of infiltrating type is lower (9.90%), but it is easy to cause lymphatic infiltration of the gastric wall and lymph node metastasis. The lymphatic vessel infiltration rate in the gastric cancer in this group was 30.73%, and the lymph node metastasis rate was 12.50%. The age at onset of women and the age of lymph node metastasis were earlier than those of men.