摘要
目的探讨发生部位对残胃癌临床病理特征及预后的重要意义。方法回顾性分析84例残胃癌患者的临床病理资料及生存资料。结果发生于吻合口部位的残胃癌发病年龄较大、首次术后间隔时间较长、原发疾病以良性疾病多见,吻合口部位的残胃癌肿瘤直径≤4cm者、无淋巴结转移者较非吻合口多见,且根治性切除率较高(P<0.05)。位于吻合口的残胃癌患者预后较非吻合口者较好(P<0.05)。结论残胃癌的发病部位常提示不同的临床病理特征、疾病性质及预后,可以帮助外科医师明确残胃癌的诊断,判断残胃癌的外科治疗方式及预后。
Objective To elucidate the clinical value of tumor location of the remnant gastric cancer developed after partial gastrectomy in the clinicopathological characteristics and surgical outcome. Methods The clinical data of 84 patients with RGC were reviewed. Results RGCs at anastomotic site were more frequently developed after partial gastrectomy for benign gastric lesion. They were developed after longer intervals and favored smaller tumor diameter, while they had lower lymph node metastasis rate and higher radical respectability rate（P 〈 0.05）. RGCs at anastomotic site had a better prognosis for comparing with non-anastomotic site tumor. Conclusion Tumor location of remnant gastric cancer is an important factor for predicting clinicopathological characteristics, prognostic and surgical outcome. It is suggested that these results will assist the surgeon getting exact diagnosis and establishing the treatment plan for remnant gastric cancer.
出处
《中国医药科学》
2012年第19期25-27,共3页
China Medicine And Pharmacy
关键词
残胃癌
发病部位
临床病理特征
预后
Remnant gastric cancer
Location
Clinicopathological characteristics
Prognosis
