摘要
目的 探讨胃类癌的临床及病理特点、诊断与治疗方法。方法 对2000年以来经胃镜检查，由病理证实且临床资料比较完整的8例病例予以分析总结。结果 8例患者均接受手术治疗并经病理及免疫组化检查证实，病灶部位包括胃角2例；胃窦1例；胃体大弯侧2例；胃体小弯侧1例；胃底近贲门2例。肉眼所见多为灰白色或灰黄色小结节，质地偏硬，多伴溃疡，周围隆起。局限于粘膜层或粘膜下层的为3例，超越粘膜下层或浸润全层的为5例。有淋巴结转移的及无淋巴结转移的各为4例。随访8例患者术后的生存情况。随访期由3个月至40个月不等。除一例伴有腹腔广泛转移的患者已死亡外，其余均健在。结论 胃类癌为少见病，在胃肠道肿瘤中占0．4％～1．8％。胃镜检查是术前发现胃类癌的重要手段，病理学诊断结合免疫组化技术是最后确诊的主要方法。胃类癌的治疗及预后取决于肿瘤的大小、浸润程度及生物学行为。
Aim To investigate the clinical features, pathological characteristics, diagnostic methods and treatment of gastric carcinoid tumors. Methods The clinical data of 8 patients with gastric carcinoid tumors since 2000 were retrospectively reviewed. Results All the patients were confirmed by surgery, immunohistochemistry and pathologic examination. All cases underwent operations, the size of whose tumors were less than 3 cm. During the follow up period of 8～40 months, only 1 cases were dead,who died of recurrence and extensive metastasis of gastric carcinoid tumors. Conclusion Gastroscopy examination is an important method to find gastric carcinoid tumors, and pathologic examination and immunohistochemistry are the main ways to make a definite diagnosis in these patients. Operation may be the first choice for gastric carcinoid tumors. The prognostic factor is based on the subtype , characteristics of biologic behavior, and the size of gastric carcinoid tumors.
出处
《安徽医药》
CAS
2006年第1期48-49,共2页
Anhui Medical and Pharmaceutical Journal
关键词
胃类癌
胃镜
治疗
gastric carcinoid tumor
gastroscopy
treatment
