首页|661例胃癌患者临床病理特征分析

661例胃癌患者临床病理特征分析

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目的 探讨新乡医学院第一附属医院收治的胃癌的临床病理特征.方法 回顾性分析2019年5月至2023年4月该院收治的661例连续胃癌手术病例临床病理资料.统计分析年龄、性别、癌肿部位、pT分期、淋巴结转移及脉管癌栓、神经侵犯情况.结果 661例胃癌病例中男性499例,女性162例.661例胃癌患者年龄多处于46岁~75岁之间,56岁~70岁为发病高峰,平均年龄为(63.03±9.07)岁,其中男性平均年龄为(63.23±8.95)岁,女性平均年龄为(62.42±9.44)岁.不同性别组年龄相比差异无统计学意义(P>0.05).癌肿部位以食管胃结合部腺癌为主(72.61%),不同性别组胃癌癌肿分布部位差异无统计学意义(P>0.05).组织学类型以腺癌为主(98.18%);分化程度以低-中分化胃癌为主(88.65%).胃癌T分期pT3组和pT4a组分别占39.49%和31.47%,随着pT分期的升高,淋巴结转移、神经侵犯、脉管癌栓阳性率逐渐增高,其中,pT3组与pT2组相比,淋巴结转移、神经侵犯、脉管癌栓阳性率差异均有统计学意义(P<0.05).胃癌癌肿部位不同,淋巴结转移、神经侵犯、脉管癌栓阳性率无显著差别(P>0.05).结论 该院收治的胃癌的临床病理特征如下:多见于中老年男性;以食管胃结合部腺癌为主;分化程度以低-中分化腺癌为主,且与胃癌的原发部位无关;T分期多为T3和T4a期;淋巴结转移、神经侵犯、脉管癌栓的发生与T分期呈正相关,但不同部位胃癌的淋巴结转移、神经侵犯和脉管癌栓发生无明显差异.
Analysis of Clinicopathological Features of 661 Cases of Gastric Cancer Patients
Objective To summarize the clinicopathologic features of gastric cancer.Methods The clinical and patho-logical data of 661 patients with gastric cancer were analyzed retrospectively.Age,sex,tumor site,PT Staging,lymph node metasta-sis,vascular tumor thrombus and nerve invasion were analyzed statistically.Results There were 499 males and 162 females a-mong the 661 cases of gastric cancer patients.The mean age of diagnosis of 661 gastric cancer patients was(63.03±9.07)years,the mean age of male patients was(63.23±8.95)years,the mean age of female patients was(62.42±9.44)years.There was no significant difference in the age between different sex groups(P>0.05).Most of them were between 46 and 75 years old,and the peak of age was from 56 to 70 years old.The majority(72.61%)of the gastric cancer tumors were adenocarcinoma of the esopha-gogastric junction.There was no significant difference in the distribution of gastric cancer in different sex groups(P>0.05).The histological type of gastric cancer was mainly adenocarcinoma(98.18%).The degree of differentiation was mainly poorly-moder-ately differentiated type(88.65%).The T stage of gastric cancer was 39.49%in pT3 group and 31.47%in pT4a group.With the increase of pT Stage,the incidence of lymph node metastasis and nerve invasion and vascular tumor thrombus increased gradu-ally.Compared with pT2 group,the incidence of lymph node metastasis and perineural invasion and lymphovascular invasion in pT3 group were significantly different(P<0.05).There was no significant difference in the positive rates of lymph node metasta-sis,perineural invasion and lymphovascular invasion in different locations of gastric cancer(P>0.05).Conclusion Some clini-copathological features of gastric carcinoma are as follows:Most of them were found in middle-aged and old men;most of them are adenocarcinoma of the esophagogastric junction;The degree of differentiation is mainly poorly-moderately differentiated adenocar-cinoma,and is not related to the primary site of gastric cancer.Most of T stage are T3 and T4a;The occurrence of lymph node me-tastasis and perineural invasion and lymphovascular invasion are positively correlated with T stage;but the occurrence of lymph node metastasis and perineural invasion and lymphovascular invasion in different locations of gastric cancer have no significant difference.

Stomach neoplasmsClinicopathological feature

李岩、吴新军、侯栋、孙培胜、郜庆祖、陈炳合、闫争强

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453100 新乡医学院第一附属医院

胃肿瘤 临床病理特征

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(8)
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