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胃癌组织学类型的临床重要性(作者译)

[Clinical importance of histological typing of gastric carcinoma (author's transl)].

作者信息

Giedl J

出版信息

MMW Munch Med Wochenschr. 1980 Feb 8;122(6):205-8.

PMID:6767957
Abstract

104 gastric carcinomata from 100 gastrectomies were classified in parallel by the Lauren and Ming methods. Lauren's intestinal type corresponds extensively with Ming's expansive type, Lauren's diffuse type to Ming's infiltrative type. The advantage of Ming's classification is that practically every tumor can be classified by it. The infiltrative type of gastric carcinoma is characterized by indistinct delimination and often extensive spread which can only be recognized histologically in macroscopically inconspicuous stomach wall. A far advanced tumor stage is to be reckoned with here. In the statistics of successful cures and the decision between subtotal resection and gastrectomy the tumor type should also be taken into consideration.

摘要

对100例胃切除术的104个胃癌标本同时采用劳伦(Lauren)法和明(Ming)法进行分类。劳伦法的肠型与明法的膨胀型广泛对应,劳伦法的弥漫型与明法的浸润型对应。明法分类的优点是几乎所有肿瘤都可用其进行分类。胃癌的浸润型特点是边界不清,常广泛扩散,只有在大体上不明显的胃壁组织学检查中才能识别。这里要考虑到肿瘤分期较晚的情况。在统计成功治愈病例以及决定行次全切除还是胃切除时,也应考虑肿瘤类型。

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