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老年人胃癌207例临床病理分析

CLINICOPATHOLOGICAL ANALYSIS OF 207 CASES OF GASTRIC CANCER IN THE ELDERS

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【作者】 陈远存叶锋黄仕波

【Author】 Chen Yuancun;Ye Feng;Huang Shibo(The Affiliated Hospital of Guangdong Medical College)

【机构】 广东医学院附属医院

【摘要】 207例老年人胃癌的临床病理分析表明,其特点是:(1)大胃癌多(74.9%);(2)多属Ⅲ、Ⅳ期胃癌(81.2%);(3)高分化腺癌多(73.9%),淋巴转移率高(87.9%);(4)多数患者临床症状隐袭、体征缺如、病程短、预后差。本组术后3年存活率仅为25.0%,作者认为对老年人胃癌手术适应范围应予放宽,术后辅以化疗,以改善预后和提高生存率。

【Abstract】 A clinicopathological analysis of 207 cases of gastric cancer in the elders showed that the features of them were:(1)much of them were larger in size(74.9%);(2) most of them were advanced(81.2% belongs to Ⅲ and Ⅳ stage);(3)most of them were highly differentiated adenocarcinoma(73.9%),and the lymphatic metastive rate was high(87.9%);(4)the clinical manifestations were not conspicuous and the course was shorter(60.4% within 6 months)and the prognosis was unfavourable.The three-year survival rate was only 25.0%.It is considered that the operating indications of gastric cancer in the elders should be relaxed and supplemented be chemotherapy so as to increase the survival rate.

【关键词】 胃癌临床病理老年
【Key words】 eldersgastric carcinomaclinicopathology
  • 【文献出处】 广东医学院学报 ,JOURNAL OF GUANGDONG MIDICAL COLLEGE , 编辑部邮箱 ,1994年03期
  • 【分类号】R735.202
  • 【下载频次】19
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