胃印戒细胞癌内镜特点及临床诊治分析--附36例报告

目的 探讨胃印戒细胞癌的内镜及临床特点及诊断治疗方法。方法 对已明确诊断的36例患者进行回顾性分析，分析其临床特点、内镜表现、病理类型及治疗方法和结果。结果 胃印戒细胞癌好发于胃体中上部小弯侧前后壁。内镜下改变主要为局限性糜烂，颗粒样增生、结节样改变，质脆易出血或黏膜肥厚增粗。病理类型多为B-II、IIb及IIc，对可疑患者要多次、多部位、深挖取活检，能提高活检阳性率。结论 胃镜及病理活检仍是胃印戒细胞癌早期诊断有效可靠的方法，手术治疗为首选。

Endoscope feature and diagnosis and treatment of gastric signet-ring carcinoma:clinical analysis of 36 cases

[Objective] To investigate the endoscope feature of gastric signet-ring carcinoma and evaluate the methods of diagnosis and treatment. [Methods] To retrospectively analysis 36 cases who were confirm diagnosed. Their clinical feature, endoscope feature, pathologic types and curative effect of therapy were analyzed. [Rusult] Most carcinoma site located at anterior or posterior wall at lesser curvature of mid-upper part of gastric body. Endoscope feature: mucosa plica were tumefactional, small node formated, erosion, it was easy to bleeding. Biopsy: Mojority carcinoma type was BorrmannII and IIb and IIc type. More topical biopsy and deep biopsy were necessary for improving biopsy positive rate. [Conclusion] Endoscope and biopsy are effective methods for early diagnosis of gastric signet-ring carcinima.