老年早期胃癌临床及内镜诊断124例  

Gastroscopic and clinical diagnosis of early gastric cancer in elderly patients:an analysis of 124 cases

作　　者：刘婧[1] 张子其[1] 陈孝[1] 付永和[1] 张钰[1] 

机构地区：[1]中国人民解放军总医院南楼消化内镜诊疗科,北京市100853

出　　处：《世界华人消化杂志》2010年第20期2137-2140,共4页World Chinese Journal of Digestology

摘　　要：目的:分析老年人早期胃癌(early gastric cancer,EGC)的临床病理特征.方法:回顾分析1985-05/2008-06我科经胃镜诊断明确的老年EGC患者124例的临床及病理资料.结果:124例患者中,平均年龄72.1岁,症状体征缺乏特异性.EGC主要病灶分布于胃窦,肉眼分型多为Ⅱb、Ⅱc型,直径多<2cm,病理分型以腺癌为主,多局限于黏膜层,淋巴结转移率为3.2%(4/124).结论:老年EGC临床症状不典型,内镜普查并结合病理分析是发现老年EGC并指导治疗的有效方法.AIM：To investigate the clinicopathologic characteristics of early gastric cancer（EGC） in elderly patients. METHODS：The clinical data for 124 elderly patients who were endoscopically diagnosed with EGC from May 1985 to December 2009 were retrospectively analyzed. RESULTS：The mean age of these patients was 72.1 years.Elderly EGC patients usually had non-specific symptoms and physical signs.The tumors,most of which belonged to type IIb and IIc,were mainly located in the gastric sinus.Tumor diameter was usually less than 2 cm.Adenocarcinoma was the most common pathological type.Lymph node metastasis was noted in 3.2%（4/124） of patients. CONCLUSION：There are usually no typical symptoms in elderly EGC patients.Mass screen-ing by gastroscopy in combination with pathological examination is the most effective method to f ind EGC in elderly patients.

关 键 词：早期胃癌 内镜 病理特征 

分 类 号：R735.2[医药卫生—肿瘤]