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机构地区:[1]广东医学院附属医院
出 处:《广东医学院学报》1994年第3期203-205,共3页Journal of Guangdong Medical College
摘 要:207例老年人胃癌的临床病理分析表明,其特点是:(1)大胃癌多(74.9%);(2)多属Ⅲ、Ⅳ期胃癌(81.2%);(3)高分化腺癌多(73.9%),淋巴转移率高(87.9%);(4)多数患者临床症状隐袭、体征缺如、病程短、预后差。本组术后3年存活率仅为25.0%,作者认为对老年人胃癌手术适应范围应予放宽,术后辅以化疗,以改善预后和提高生存率。A clinicopathological analysis of 207 cases of gastric cancer in the elders showed that the features of them were:(1)much of them were larger in size(74.9%);(2) most of them were advanced(81.2% belongs to Ⅲ and Ⅳ stage);(3)most of them were highly differentiated adenocarcinoma(73.9%),and the lymphatic metastive rate was high(87.9%);(4)the clinical manifestations were not conspicuous and the course was shorter(60.4% within 6 months)and the prognosis was unfavourable.The three-year survival rate was only 25.0%.It is considered that the operating indications of gastric cancer in the elders should be relaxed and supplemented be chemotherapy so as to increase the survival rate.
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