器官外非淋巴结性转移癌组织与胃癌预后的相关性分析

目的:探究器官外非淋巴结性转移癌组织对胃癌预后的影响。方法:对天津市大港油田总医院2003年10月—2008年1月收治的140例胃癌患者病理标本进行溶脂,获取器官外淋巴结或非淋巴结性转移癌组织,并按照其浸润转移类型分为淋巴结转移组56例和非淋巴结转移组84例,对比2组患者5年存活率、浸润深度及分化程度等指标,分析器官外非淋巴结性转移癌组织与胃癌预后的相关性。结果:2组患者胃癌浸润深度及分化程度差异无统计学意义(P>0.05);淋巴结转移组患者5年存活率48.2%(27/56),非淋巴结转移组患者5年存活率32.1%(27/84),2组差异无统计学意义(P>0.05)。结论:器官外非淋巴结性转移癌组织亦具有高浸润深度与分化程度,与淋巴结性转移癌类似,且预后较差,因此,在治疗中应对非淋巴结性转移癌患者等同于淋巴结性转移癌患者对待,不可忽视,以推断患者预后,提高生存质量。

Organs outside correlation analysis of cancer on the prognosis of gastric cancer lymph node metastasis

Objective： To explore the effect of non cancer tissues and organs of the prognosis of gastric cancer lymph node metastasis. Methods： In our hospital in 2003 October-2008 year ir January 140 cases of gastric cancer specimens were dissolved fat, get organs lymph node or nor lymph node metastatic cancer tissue, and in accordance with its invasion and metastasis type group-ing; lymph node metastasis group 56 cases, 84 cases without lymph node metastasis group, com- ared two groups of patients the 5 year survival rate, depth of invasion and differentiation degree Inalysis of non lymph node metastasis organ cancer tissue on the prognosis of gastric cancer. Re-sults：The two groups of patients with gastric cancer invasion depth, differentiation degree has no obvious statistical difference; lymph node metastasis in patients with 5 year survival of 27 patients, the survival rate was 48.2%, no lymph node metastasis group patients 5 years survival of 27 cases, the survival rate was 32.1%, two groups of patients 5 years survival rate has no obvious statistical difference. Conclusion： Organ outside the lymph node metastatic cancer tissue has a high inva- sive depth and differentiation, and lymph node metastases and poor prognosis, similar, therefore, to deal with non lymph node metastasis cancer patients is equivalent to the lymph node metastatic carcinoma treated in the treatment, can not be ignored, to the prognosis of the patients with infer-ence, to improve the quality of life.