958例胃癌临床病理资料分析

目的了解近6年来就诊于我院的胃癌患者流行病学及临床病理资料的特点,为疾病的诊断与评估提供帮助。方法将2004年1月至2009年12月期间于我院进行手术治疗的958例胃癌患者作为研究对象,对其一般资料、肿瘤病理类型、发生部位、临床分期等进行回顾性分析。结果 958例胃癌患者中,男697例(72.8%),女261例(27.2%)。年龄26~91岁,平均62.6岁;高发年龄为46~65岁组,占49.4%(473/958),其后依次为≥66岁组及≤45岁组,分别为42.3%(405/958)和8.3%(80/958)。病理的大体分型上,BorrmannⅡ型占大多数(70.1%);病理类型以腺癌居多,占82.3%,印戒细胞癌占7.8%;分化程度以低分化为主,占46.9%。发生部位以贲门居多,占53.0%。TNM临床分期中以Ⅲ期为主,占47.4%。结论①胃癌多见于中老年男性患者,以贲门部低分化腺癌多见,贲门癌发病率明显高于胃窦癌;②在胃癌患者中,恶性程度较高的低分化、印戒细胞癌中所占比例最高者为相对较年轻的患者(≤45岁组);③行手术治疗的大部分为中晚期患者,胃癌的早期诊断有待进一步提高。

Analysis of Clinicopathologic Characteristics in 958 Cases of Gastric Cancer

Objective To investigate the clinicopathologic and epidemiological characteristics of patients with gastric cancer at our hospital in the past six years.Methods A total of 958 patients with gastric cancer were selected from January 2004 to December 2009 and clinicopathologic characteristics such as basic data,pathological type,tumor location,and TNM stage were retrospectively analyzed.Results Of the 958 patients,697 cases(72.8%) were male and 261 cases(27.2%) were female,and the age ranged from 26 to 91 yea...