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从大小角度对早期胃癌的研究

[Study of early gastric carcinoma from the standpoint of size].

作者信息

Yamagiwa H

出版信息

Rinsho Byori. 1989 Aug;37(8):929-32.

PMID:2555592
Abstract

1,112 cases of resected early gastric carcinoma without invasion beneath the propria muscularis were investigated for the location, gross findings and histological findings mainly from a standpoint of size. The incidence of intramucosal carcinomas was 92.7% in the size within 1 cm in diameter, 68.9% in 1 to 2.9 cm, 48.8% in 3 to 4.9 cm and 37.6% beyond 5 cm. Although the incidence of poorly-differentiated adenocarcinomas was 37.9% in the cases within 5 cm, the incidence in the cases beyond 5 cm was 50.8% (most of them consisted of signet-ring cell carcinoma). The larger the tumor size, the more the intestinal metaplastic type carcinomas decreased and the signet-ring cell carcinomas increased. It was suggested that the signet-ring cell carcinoma infiltrates in the propria mucosae for a long time compared with the other type carcinomas.

摘要

对1112例切除的早期胃癌(肿瘤未侵犯固有肌层以下)主要从大小的角度调查其部位、大体表现及组织学表现。直径1cm以内的黏膜内癌发生率为92.7%,1至2.9cm为68.9%,3至4.9cm为48.8%,5cm以上为37.6%。虽然5cm以内的病例中低分化腺癌发生率为37.9%,但5cm以上的病例中该发生率为50.8%(其中大多数为印戒细胞癌)。肿瘤越大,肠化生型癌越少,印戒细胞癌越多。提示与其他类型癌相比,印戒细胞癌在固有黏膜层浸润的时间更长。

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