早期胃癌病理和生物学特点与外科手术的选择(120例分析)  

Selection of Resection Procedure on Pathological and Biological Features of Early Gastric Cancer:A Retrospective Study of120 Cases.

作　　者：庄捷[1] 卞育海[1] 陈治平[1] 凌伟[1] 金云法[1] 

机构地区：[1]上海第二医科大学附属仁济医院普外科,200001

出　　处：《外科理论与实践》2003年第1期28-30,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:根据早期胃癌的病理和生物学特点,探讨早期胃癌手术方式的选择。方法:回顾性分析了1990年来收治的120例早期胃癌,其中黏膜内癌(im鄄ca)66例,黏膜下层癌(sm鄄ca)54例;单发癌115例,多发癌5例;浅表扩展型7例;15例有淋巴结转移。全部病例均行不同范围的根治性手术。结果:sm鄄ca的淋巴结转移发生率显著高于im鄄ca。癌灶较大、凹陷型和细胞分化差的癌肿淋巴转移相对较多。结论:按EGC的大小、大体类型和细胞分化程度可大致估计肿瘤侵犯深度及淋巴转移,有助于决定手术范围。Objective:To analyze the pathological and biological characteristics of early gastric cancer to discuss the selection of surgical procedure.Methods:A hundred and twenty patients with early gastric cancer resected operatively from year1990were analyzed retrospectively.Gastric intramucosal cancer(imca)was diagnosed pathologically in66cases,and submucosal cancer(smca)in54cases.Superficial spreading type of cancer was found in7cases,and lymph node metastasis in15cases.Results:Lymph node metastasis occurred more in patients with smca than those with imca and its occurrence was associated with size,gross type and cell differentiation of cancer.Conclusions:Cancer invasive depth and lymph node metastasis could be evaluated by the lesion size,microscopic type and cell differentiation,and it is helpful to make a decision of operative mode of early gastric cancer.

关 键 词：早期胃癌 病理 生物学 外科手术 

分 类 号：R735.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]