摘要
目的探讨胃镜活检标本诊断胃癌的临床病理特征。方法收集123例胃镜活检并经手术切除标本证实为胃癌的病例，观察分析组织形态学结构。结果胃恶性肿瘤以腺癌为主，且癌性腺体浸润至粘膜下层52例，癌性腺体在粘膜固有层内浸润32例，印戒细胞癌28例，淋巴瘤5例，间质瘤6例。结论胃镜活检标本诊断胃癌在腺癌中要紧密结合癌细胞形态特征及癌性腺体的形态特征，浸润性生长方式和浸润深度，纤维结缔组织间质反应，肿瘤性坏死及胃镜所见，其它组织学类型恶性肿瘤需结合镜下结构和临床病例资料。
Objective To explore the clinical pathological features Of gastric carcinoma diagnosed by gastroscopic biopsy specimens. Methods To observe and analyze morphological structure of gastroscopic biopsy specimens of 123 cases which were surgically confirmed as gastric cancer. Results Majorities of the collected gastric carcinoma cases belong to Malignant gastric adenocarcinoma , including 52 cases whose cancerous gland cells invaded into to the submucosa, 32 cases whose cancerous cells spreaded to propria, 28 cases belonging to signet-ring cell carcinoma in, 5 cases attributed to lymphoma, and 6 cases classified as stromal tumor. Conclusion To diagnosis gastric adenoeareinoma confirmed by gastroscopic biopsy specimens requires closely association with the morphological characters of cancer cells and cancerous glands, the growth patterns and depths of invasion, the reaction in fibrous connective tissues, and the necrosis extent and the exhibitions observed by gastroscopie. Other histological types of malignant tumors require a combination of microscopic structure features and clinical case data.
作者
李美梁
LI Mei-liang （ Hengdong People＇s Hospital,Hengdong 421400,China）
出处
《医学信息》
2010年第3期765-766,共2页
Journal of Medical Information
关键词
胃镜活检
胃癌
病理诊断
gastroscopic biopsy
gastric carcinoma
pathological diagnosis
