【摘要】 目的 :探讨贲门癌的临床病理特征 ,为临床诊断与治疗提供参考。方法 :对我院附属医院 1993 - 1998年间手术切除的15 2例贲门癌的临床病理资料进行分析。结果 :15 2例中平均年龄 5 6 9岁 ,男女之比 5 33:1,肉眼溃疡型占 84.9% ,组织学类型高分化腺癌占 34.9% ,侵及浆膜或侵透浆膜占 84.2 % ,淋巴道占 5 0 .7% ,淋巴结转移与肿瘤浸润深度、肉眼类型有关 (P <0 .0 5 )。结论 :贲门癌早期难以发现 ,就诊时多属晚期 ,常常已发生浸润、转移 ,故预后差。应对高发区进行普查 ,以便早期发现早期诊治 ,以延长患者生存时间。更多还原

【Abstract】 Objective:To investigate the clinicopathological features of gastric cardia carcinoma and to supply reference for its early diagnosis and treatment.Methods:The analysis of the clinicopathological data was conducted in 152 patients who had received cardia carcinoma from 1993 to 1998.Results:Of 152 cases,men 128,women 24.The rate of them was 5.33 to 1.The average age was 56.7 years.It was the most ulcerative pattern in macroscope(84.9%).Histologically,it was often high differention adenocarcinoma(34.9%)and invasived smooth muscle or serosa (97.4%).Lymphatic spread was the most metastasised way(50.7%).The correlation between the lymph node metastasised and infiltration depth and macroscopic pattern was statistically significant(P<0.05).Conclusion:It was no topical synptom that the early cardia carcinoma.Lately pattern was mentioned and it was poorly prognosis.更多还原