Relationship Analysis of Endoscopic Typing of Early Gastric Cancer with Infiltration Depth and Lymphatic Metastasis
Objective:To analyze the relationship between endoscopic typing of early gastric cancer and infiltration depth and lymph node metastasis.Methods:103 patients with early gastric cancer admitted to the hospital from March 2020 to March 2023 were selected as the research subjects.General clinical data of pa-tients were collected and the relationship between endoscopic typing,infiltration depth and lymph node metas-tasis was analyzed.Results:Among the 103 patients,63.11%were males and 36.89%were females.The mean age was(52.36±10.73)years old and the mean maximum tumor diameter was(2.15±0.89)cm.The tumor locations were 20.39%in the upper part,50.49%in the middle part and 29.13%in the lower part.The differentiation degree of gastric cancer showed that there were 37.86%of high differentiation,43.69%of middle differentiation and 18.45% of low differentiation.Lauren typing revealed that interstitial type accoun-ted for 49.51%and adenocarcinoma type accounted for 50.49%respectively.In terms of TNM staging,IA stage and IB stage accounted for 69.90%and 30.10%.According to endoscopic typing,there were 15 cases(14.56%)of type Ⅰ,64 cases(62.14%)of type Ⅱ and 24 cases(23.30%)of type Ⅲ among the 103 pa-tients.The differences in tumor infiltration depth among different endoscopic types were statistically significant(P<0.05).In pairwise comparisons between groups,the differences between Type Ⅰ and both Type Ⅱ and Type Ⅲ were statistically significant(P=0.025 and 0.032,respectively),and the difference between Type Ⅱ and Type Ⅲ was also statistically significant(P=0.047).The differences in lymph node metastasis detec-tion rates among different endoscopic types were statistically significant(P<0.05).In pairwise comparisons,the rate for Type Ⅰ was lower than that for Type Ⅱ and Type Ⅲ(P=0.028 and 0.015,respectively),and the rate for Type Ⅱ was lower than that for Type Ⅲ(P=0.036).Conclusion:Endoscopic typing of early gastric cancer is closely related to infiltration depth and lymph node metastasis.
Early gastric cancerEndoscopic typingInfiltration depthLymphatic metastasisCorrelation analysis