不同原发部位胃转移癌12例

目的:探讨不同原发部位胃转移癌的临床特点及诊治.方法:对我院1990-01/2010-01诊断胃癌的病例资料进行检索,其中符合胃转移癌诊断者12例,计算其在胃癌中的构成比,结合国内外相关文献,分析不同原发部位胃转移癌的临床特点、诊治手段及其效果与预后.结果:胃转移癌原发部位以食管癌居多,占胃转移癌的50%(6/12).患者多有原发肿瘤病史,临床表现与原发性胃癌相似,诊断主要依赖于原发癌病史及病理组织学检查,预后较差(生存期9.5 mo),尽早诊断并手术可改善预后.结论:胃转移癌发病率极低,不易与原发性胃癌鉴别,诊断依据是原发癌病史及病理组织学检查,预后差,手术是主要的治疗手段.

Metastatic carcinoma to the stomach from different primary sites:An analysis of 12 cases

AIM: To discuss the clinical characteristics,diagnosis and treatment of metastatic carcinoma to the stomach from different primary sites.METHODS: Ten patients diagnosed with metastatic carcinoma to the stomach at our hospital from January 1990 to January 2010 were included in the study.The clinical characteristics,diagnosis,treatment,and prognosis of metastatic carcinoma to stomach from different primary sites were analyzed.RESULTS: Esophageal cancer was the most common primary tumor.The patients usually had a tumor history,and it was difficult to dis-tinguish between secondary and primary gastric cancer because of their similar clinical manifestations.The diagnosis depended mainly on a tumor history and histopathological examination.The prognosis was poor,and their median survival time was 9.5 months.Early diagnosis and timely operation might improve prognosis.CONCLUSION: Metastatic carcinoma to the stomach is a kind of extremely rare secondary carcinoma and is difficult to differentiate from primary gastric cancer.The diagnosis is dependent on a tumor history and histopathological examination,and operation should be made a priority for treatment.