Liang Pan, Zhu Bingbing, Ren Xiu-Chun, Lyu Dongbo, Cheng Ming, Gao Jian-Bo
Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China.
Oncol Lett. 2023 Mar 17;25(5):178. doi: 10.3892/ol.2023.13764. eCollection 2023 May.
Clinical and pathological features are important factors that affect the prognosis and treatment strategies of patients with gastric cancer (GC). An upper gastrointestinal barium X-ray examination is commonly used to show gastric mucosa and morphological changes. The aim of the present study was to evaluate the association between gastric morphological type and the clinicopathological features of patients with GC, based on double-contrast barium X-ray imaging. A total of 329 patients with GC who underwent upper gastrointestinal barium X-ray examination were analyzed. The gastric morphological type was divided into four types on barium X-ray images: Horn-type, hook-type, weak-type and waterfall-type stomach. The χ test or Fisher's exact test was used to assess the association between gastric morphological type and the clinicopathological features. There was a statistically significant difference in the location of GC between different types of gastric morphology. Hook-type and horn-type GC were commonly present in the lower region of the stomach, while waterfall-type GC was mainly located in the upper region of the stomach. The incidence of waterfall-type non-poorly differentiated GC was higher than that of other gastric types. The incidence of waterfall-type intestinal-type GC was higher than that of other gastric types, and horn-type GC was more common in mixed-type GC. There was a statistically significant difference in the T-staging of GC between different types of gastric morphology. In conclusion, gastric morphological type correlates with the location and T-stage distribution of GC.
临床和病理特征是影响胃癌（GC）患者预后和治疗策略的重要因素。上消化道钡餐X线检查常用于显示胃黏膜及形态变化。本研究的目的是基于双重对比钡餐X线成像评估胃癌患者胃形态类型与临床病理特征之间的关联。对329例行上消化道钡餐X线检查的胃癌患者进行了分析。在钡餐X线图像上，胃形态类型分为四种：牛角型、钩型、无力型和瀑布型胃。采用χ检验或Fisher精确检验评估胃形态类型与临床病理特征之间的关联。不同类型胃形态的胃癌在部位上存在统计学显著差异。钩型和牛角型胃癌常见于胃下部区域，而瀑布型胃癌主要位于胃上部区域。瀑布型非低分化胃癌的发生率高于其他胃型。瀑布型肠型胃癌的发生率高于其他胃型，且牛角型胃癌在混合型胃癌中更为常见。不同类型胃形态的胃癌在T分期上存在统计学显著差异。总之，胃形态类型与胃癌的部位及T分期分布相关。
