进展期胃癌淋巴结转移规律的探讨  

Investigation on lymph node metastasis in advanced gastric cancer

作　　者：丁小兵[1] 贺咏宁[1] 李玉梅[1] 刘大全[1] 王梦龙[2] 

机构地区：[1]井冈山大学医学院,江西吉安343000 [2]南昌大学第二附属医院,南昌330006

出　　处：《重庆医学》2010年第1期58-59,61,共3页Chongqing medicine

摘　　要：目的探讨进展期胃癌淋巴结转移规律。方法回顾分析86例进展期胃癌术后临床病理资料。结果86例进展期胃癌的淋巴结转移率为75.6%。T2和T3、T4淋巴结转移率分别为54.5%、88.6%。BorrmannⅠ、Ⅱ型为54%,BorrmannⅢ、Ⅳ型为91.8%。病灶直径小于5.0cm组为60.1%,≥5.0cm组为87.5%。各组淋巴结中以第3组转移率最高为52.2%,其他依次为第4、6、7、8、5组淋巴结。结论进展期胃癌淋巴结转移的淋巴结多限于N1及N2;弥漫型胃癌淋巴结转移率显著高于局限型;浸润浆膜层组淋巴结转移率明显高于浆膜下组;病灶大于或等于5.0cm组淋巴结转移率高于小于5.0cm组。Objective To explore the regular rule of lymph node metastasis（LNM） of advanced gastric caneer（GC）. Methods The clinicopothological data of 86 in patients with GC were analyzed retrospectively, and the relation between metastatic rate and clinicopothologieal data was analyzed. Results The total rate of LNM of all GCs was 75.6%. The rate of LNM serosa invasion （T3,4）was 88.6%,no serosainvasion（T2）only 54.5%;the rate of LNM of the diffuse type（BorrⅢ,Ⅳ） was 91.8%,which was higher than that of the local type （Borrmann Ⅰ,Ⅱ ） ,and the rate of LNM of tumor ≥5.0cm（87.5 %）was higher than that of tumor 〈5.0cm（60. 1%）. The highest metastasis rate of all lymph nodes was NO. 3（52.2%）. Conclusion LNM of advanced gastric cancer is almost in N1 and N2. The rate of LNM in T3 ,T4 ;BorrmannⅢ,Ⅳ ;tumor ≥5.0cm significantly higher than in T2,Borrmann Ⅰ,Ⅱ and tumor 〈5.0cm,respectively.

关 键 词：进展期 胃癌 淋巴结转移 

分 类 号：R735.2[医药卫生—肿瘤]