早期胃癌患者胃镜诊断与病检结果分析

目的 总结分析早期胃癌的胃镜及病理特点以提高其检出率.方法 回顾总结近年来我科收治的46例早期胃癌患者的临床资料,并记录胃镜及病理特点.结果 早期胃癌患者集中在40岁以上人群,肉眼分型Ⅱ～Ⅲ型为主,病变好发部位为胃窦部和胃体部;管状腺癌最多;癌旁有半数以上出现肠上皮化生等癌前病变.结论 既往有胃病史者是早期胃癌的高危人群,胃镜及病理检查是早期胃癌诊断的重要手段,应加强高危人群筛查和教育,提高警惕,以提高早期胃癌诊断率.

Endoscopic and pathological analysis for the early gastric carcinoma

Objective To study the gastroscopy and pathological features of early gastric cancer to improve the detection rate of early gastric cancer. Methods The clinical data of 46 patients with early gastric cancer were collected and analyzed retrospectively, and the endoscopic and pathological features were analyzed. Results The age of most cases were above 40 years old. The morbidity of type 11 and IU was the highest. The cancer was located in sinus ventriculi and gaster- body. The pathological results showed the highest type was tubular adenocarcinoma. Precancerous lesion was found surrounding the carcinoma in more than half of the cases. Conclusions Endoscopy combined with pathologic examina- tion is of great value in the diagnosis and treatment for early gastric carcinoma. Screening and education for high risk group as well as careful observation through endoscopy and identification is important for the diagnosis for early gastric cancer.