论文部分内容阅读
目的 探讨老年胃癌患者的临床病理特点 ,为胃癌的防治提供依据。方法 对收治的老年胃癌 6 9例进行回顾性总结分析 ,并与同期收治的青年胃癌 [1 ] 进行比较。结果 老年胃癌以男性为主 ,同 A型血型无关 ,临床上缺乏特异性表现 ,常伴慢性胃粘膜病变 ,就诊较晚 ;好发贲门胃底部 ,癌细胞多数分化较好 ,以局限性生长为主 ;恶性程度低 ,术后缓解期长 ,患者生存期也较长。结论 老年胃癌的临床病理特点同肠型胃癌很相似 ,说明老年胃癌以肠型胃癌为主。肠型胃癌防治应采取防止环境致癌因子侵袭 ,防治胃癌前期病变和对高危人群普查的综合性措施
Objective To investigate the clinicopathological characteristics of elderly patients with gastric cancer and provide evidence for the prevention and treatment of gastric cancer. Methods Sixty-nine elderly patients with gastric cancer admitted to our hospital were retrospectively analyzed and compared with those of young patients with gastric cancer admitted in the same period [1]. Results Elderly gastric cancer was predominantly male, unrelated to blood type A, lack of specific clinical manifestations, often accompanied by chronic gastric mucosal lesions, and had a late visit. In the inferior gastric cardia, most of the cancer cells differentiated well, with limited growth Mainly low degree of malignancy, long postoperative remission, longer survival of patients. Conclusion The clinicopathological features of the elderly patients with gastric cancer are very similar to those of the intestinal patients with gastric cancer, indicating that the elderly patients with gastric cancer mainly intestinal type of gastric cancer. Intestinal gastric cancer prevention and treatment should be taken to prevent the intrusion of environmental carcinogens, prevention and treatment of precancerous lesions and screening of high-risk population comprehensive measures