高龄胃癌的临床及病理特征分析

目的：研究总结高龄胃癌（患年龄≥70岁）的临床及病理特征，为早诊断、早治疗提供依据。方法：选取112例高龄胃癌患，对其临床、内镜和病理资料进行统计分析。结果：高龄胃癌占同期胃癌总数的12.3％，男性发病率明显高于女性；纳差和消瘦为最常见主诉；内镜活极确诊率高（92.4％）；发病部位以贲门、胃底和胃体为主，46.4％为高、中分化癌，手术切除率较低。结论：高龄胃癌预后相对较好，提倡早期内镜活检，争取根治切除。

Clinical and pathological characteristics of senile patients with gastric carcinoma

Objective To investigate the clinical and pathological characteristics of senile gastric carcinoma. Methods 112 patients who were older than 70 years were involved in this study. Data of clinic,endoscope and pathology were analyzed. Results The rate of senile cases among the total gastric carcinoma patients was 12.3% and the incidence was dominant in male. Amorexia and thinness were the most common symptoms. The diagnosis rate of biopsy during gastroscope examination was 92.4%,which was higer than that of other examinations. Cardiac,gastric fundus and corpora ventriculi were mainly suffered. About 46.4% cases showed high or middle differentiation in pathologic typing. But the rate of radical resection was low. Conclusion The prognosis of senile gastric carcinoma is relatively well. Gastroscope and biopsy are recommended to carry out in early stage. Radical excision should be undertaken as soon as possible.