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[早期胃癌的形态学特征(150例分析)]

[Morphological characteristics of early stomach cancer (analysis of 150 cases)].

作者信息

Nesvetov A M

出版信息

Arkh Patol. 1979;41(7):32-9.

PMID:485875
Abstract

One hundred and fifty early carcinomas of the stomach were studied. Morphology of 5 anatomic types (polypoid, raised, flat, superficial ulceration, ulcerative) corresponding to endoscopic types of early carcinoma is described. Previous diseases, age and sex of patients were found to influence the macroscopic and histological structure of the tumour, the rate of invasion of the submucosa. Therefore, the authors distinguish a) early carcinoma in the presence of polyps or chronic gastritis and b) carcinoma in the presence of peptic ulcer. The latter comprises nearly 80% of all early carcinomas. Three zones where the tumor arises were found: angle of the stomach, pyloric fold, and the border between the esophagus and stomach. Various forms of carcinoma have different rates of affection of each of these zones.

摘要

对150例早期胃癌进行了研究。描述了与早期胃癌内镜类型相对应的5种解剖类型(息肉样、隆起型、平坦型、浅表溃疡型、溃疡型)的形态。发现患者先前的疾病、年龄和性别会影响肿瘤的宏观和组织结构、黏膜下层的浸润率。因此,作者区分出:a)存在息肉或慢性胃炎时的早期癌;b)存在消化性溃疡时的癌。后者占所有早期癌的近80%。发现肿瘤发生的三个部位:胃角、幽门襞以及食管与胃的交界处。各种类型的癌在这些部位中的每一个的受累率都不同。

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