进展期胃癌组织学类型与胃癌预后的关系

目的　探讨进展期胃癌组织学类型与患者预后的关系。方法　回顾分析 1982～ 1992年间住院并行手术治疗的进展期胃癌患者 2 96例。结果　胃癌组织学类型与患者年龄、性别、肿瘤大体分型及浸润深度有关。组织学类型不同但浸润深度相同的肿瘤 ,患者淋巴结转移率无差异 ,且术后 5年生存率无区别。结论　对于浸润深度相同 ,但组织学类型不同的肿瘤 ,积极手术治疗能取得同样的治疗效果。

The relationship between the pathology and prognosis of advanced gastric cancer

Objective To investigate the relationship between the pathology and prognosis of advanced gastric cancer.Methods An retrospective analysis was made on 296 patients with advanced gastric cancer, who were hospitalized and underwent operation between 1982 and 1992.Results Tumor histology relates to patients age and gender,as well as tumor size,gross type and depth of invasion.Within an individual layer of tumor invasion,there is not significant difference in lymph node metastasis among tumors with different histology nor in terms of five-year survival among patients with tumors of different histology.Conclusion For tumors with identical depth of invasion,irrespective of the pathological type,the postoperative survival is about the same.