Chadli A, Mzabi-Regaya S, Makni M K
Arch Inst Pasteur Tunis. 1986 Dec;63(4):457-76.
A retrospective study interesting 582 anatomoclinical cases of gastric malignant tumors was realised in two anatomo-pathological services of Tunis from 1970 to 1985. The average age of patients is 55 years old, with extensive ranges from 17 to 85 years old. The authors point out significative male predominance 64.6% of cases. The ulcered form is the most frequent, about 3.8% of macroscopic aspect cases. Among these last, the authors find 26.7% of ulcerating and polypoid form with invasive characteristics, and 18.83% of linitis plastica. The pyloric area localisation is the most frequent, 68% of cases. Diffuse tumors are observed in 8.47% of cases and numerous stomach localisation in 0.82% of cases. 84% of histological aspect are represented by adenocarcinoma, the most frequent of them (35%) is well differentiated type, then the poorly differentiated (20%) and atypic form (19.75%). Frequency of lymphosarcoma reaches 14.7%, the first is the centroblastic form, then lymphoblastic and lymphoplasmocytic forms. Concerning evolution, gastric cancer is an infiltrative tumor: serosal surface is attempted in 69.5% of cases, and during the first chirurgical act half cases show lymph nodes metastasis.
1970年至1985年期间，在突尼斯的两个解剖病理科室对582例胃恶性肿瘤的解剖临床病例进行了回顾性研究。患者的平均年龄为55岁，年龄范围广泛，从17岁至85岁不等。作者指出，男性占显著优势，占病例的64.6%。溃疡型最为常见，约占宏观表现病例的3.8%。在这些病例中，作者发现26.7%为具有侵袭特征的溃疡型和息肉型，18.83%为皮革胃。幽门区定位最为常见，占病例的68%。弥漫性肿瘤见于8.47%的病例，多处胃定位见于0.82%的病例。84%的组织学表现为腺癌，其中最常见的（35%）是高分化型，其次是低分化型（20%）和非典型型（19.75%）。淋巴肉瘤的发生率达到14.7%，最常见的是中心母细胞型，其次是淋巴母细胞型和淋巴浆细胞型。关于病情发展，胃癌是一种浸润性肿瘤：69.5%的病例侵犯浆膜面，在首次手术时，半数病例出现淋巴结转移。
