胃腺癌淋巴结转移危险因素的分析
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钱建忠

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Risk factors for lymph node metastasis in gastric adenocarcinoma
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    摘要:

    目的:探讨胃腺癌组织学类型及浸润深度与淋巴结转移的关系。
    方法:回顾性分析1 615例胃腺癌的临床病理资料,对不同组织学类型和不同浸润深度以及淋巴结的转移率及转移个数进行统计分析。
    结果:平均每例取淋巴结28.62个,共46 227个,其中有转移的10 173个,平均转移率22.01%;1 615例胃腺癌有淋巴结转移的1 046例,转移率为64.77%。其中TNM分期T1(M),T1(SM),T2,T3的转移率分别为2.78%,13.61%,55.59%和84.84%;组织学高分化癌转移率50.25%,低分化癌转移率78.95%,差异均有统计学意义(均P<0.001)。
    结论:胃腺癌的转移率与组织学分类有关;随着浸润深度的增加,转移的危险性呈梯度增高。

    Abstract:

    Objective: To study the relationship of different histological types and degrees of infiltration of gastric adenocarcinoma on lymph node metastasis.
    Methods: The clinical data of 1 615 cases of gastric adenocarcinoma were analyzed retrospectively, and the rate and number of lymph node metastasis in different histological types and with different depths of invasion were statistically analyzed.
    Results: There were 46 227 lymph nodes collected from 1 615 cases, with an average of 28.62 per case. Lymph node metastasis was found in 1 046(64.77%) cases of gastric cancer and 10 173(22.01%) lymph nodes. Different TNM stages showed different rates of metastasis: T1(M)2.78%, T1(SM)13.61%, T2 55.59%, and T3 84.84% respectively, while the metastatic rate for histolgically welldifferentiated carcinoma was 50.25%, and for lowdifferentiated earcinoma was 78.95%, and both had statistically significant difference(P<0.001).
    Conclusions: Metastasis of gastric adenocarcinoma has close relationship with different histological types,and as the depth of infiltrationis increased, the number and chances of lymph node metastasis are increased.

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钱建忠, 李世兰, 赵可, 徐洪明.胃腺癌淋巴结转移危险因素的分析[J].中国普通外科杂志,2009,18(10):1-.
DOI:10.7659/j. issn.1005-6947.2009.10.001

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  • 收稿日期:2009-06-09
  • 最后修改日期:2009-08-28
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  • 在线发布日期: 2009-10-15