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目的分析早期胃癌的临床及病理特点,提高早期胃癌诊断与治疗水平。方法对近5年来收治342例胃癌手术切除标本中所有的60例早期胃癌病例,用常规病理学方法对患者进行临床病理分析。结果早期胃癌的发病高峰在50～69岁,男性多见;大部分有胃痛史,癌灶部位胃窦部多见,大小多为1.1～2cm,大体分型以浅表型(Ⅱ)为主;组织学分型以低分化腺癌为主。结论内镜检查已成为早期胃癌诊断的首选方法,早期胃癌临床病理的认识也同样提高早期胃癌检出率及术后疗效,做到早期诊断、早期治疗,提高患者生存率。
Objective To analyze the clinical and pathological characteristics of early gastric cancer and to improve the diagnosis and treatment of early gastric cancer. Methods A total of 342 cases of early gastric cancer in 342 cases of gastric cancer surgically resected in the past five years were enrolled in this study. The clinicopathological analysis was performed by routine pathology. Results The incidence of early gastric cancer was 50 to 69 years old, more common in males. Most of the patients had history of stomachache. The gastric antrum was more common in the lesion, ranging in size from 1.1 cm to 2 cm in size and mostly in superficial type (Ⅱ). Histological classification of poorly differentiated adenocarcinoma-based. Conclusion Endoscopy has become the preferred method for the diagnosis of early gastric cancer. The clinicopathological understanding of early gastric cancer also increases the detection rate of early gastric cancer and postoperative efficacy, so that early diagnosis and early treatment can improve the survival rate of patients.