早期胃癌53例病理分析  

PATHOLOGICAL ANALYSIS ON 53 CASES OF EARLY GASTRIC CARCINOMA

作　　者：潘文生[1] 孙宝荣[1] 周燕南[1] 陈长春[1] 

机构地区：[1]上海医科大学病理解剖教研室

出　　处：《上海医学》1991年第4期198-200,2,共3页Shanghai Medical Journal

摘　　要：本文对53例早期胃癌进行病理分析,男性40例,女性13例,男女之比为3:1,年龄最小31岁,最大75岁,中位数55.8岁。大体标本肉眼分型:隆起型(Ⅰ型)2例,表面乎坦型(Ⅰb型)7例,表面凹陷型(Ⅰc型)24例,凹陷型(Ⅱ型)20例。病理组织学类型:均为腺癌,Ⅰ级17例,Ⅱ级11例,二者共占52.8%;Ⅱ级15例,占28.3%;其它类型例数较少。淋巴结转移:粘膜内癌23例中仅2例有转移,粘膜下癌17例中就有6例转移。淋巴结转移率与早期胃癌的病灶大小也有关系。本组9例小胃癌及微小胃癌仅1例有淋巴结转移,而其余44例早期胃癌中有8例淋巴结转移。本文早期胃癌发现率第1年9%,第2年10.5%,第8年增加到12.3%,且小胃癌及微小胃癌的发现率也逐年增加。Fifty-three early gastric carcinmas were examined from July 1985 to June 1988.Macroscopic examination showed 2 cases belonged to protuberant type,7 smooth type,24surface concave and 20 concave type.All the 53 cases were adenocarcinomas histopatholo-gieally.Lymphnode metastasis was found in only 2 of 23 cases of mucosa carcinoma and6 of 17 cases of submucosa carcinoma.The incidence of lymphnode metastasis was alsorelated to the size of carcinoma.In the 3 years reviewed,the age of onset showed adescending tendency.This might be the result of improved technique of early detection ofgastric carcinoma.

关 键 词：胃肿瘤 病理 分析 

分 类 号：R735.202[医药卫生—肿瘤]