论文部分内容阅读
目的探讨胃印戒细胞癌的内镜及临床特点及诊断治疗方法。方法对已明确诊断的36例患者进行回顾性分析,分析其临床特点、内镜表现、病理类型及治疗方法和结果。结果胃印戒细胞癌好发于胃体中上部小弯侧前后壁。内镜下改变主要为局限性糜烂,颗粒样增生、结节样改变,质脆易出血或黏膜肥厚增粗。病理类型多为B-II、IIb及IIc,对可疑患者要多次、多部位、深挖取活检,能提高活检阳性率。结论胃镜及病理活检仍是胃印戒细胞癌早期诊断有效可靠的方法,手术治疗为首选。
Objective To investigate the endoscopic and clinical features of gastric signet-ring cell carcinoma and its diagnosis and treatment. Methods Thirty-six patients with definite diagnosis were retrospectively analyzed, and their clinical features, endoscopic findings, pathological types, treatment methods and results were analyzed. Results Gastric signet ring cell carcinoma occurs in the upper small curvature side of the body before and after the wall. Endoscopic changes mainly due to localized erosion, granuliform hyperplasia, nodular changes, crisp and easy bleeding or thickening of mucosal hypertrophy. Pathological types are mostly B-II, IIb and IIc, suspicious patients to multiple, multi-site, deep dig biopsy, biopsy can increase the positive rate. Conclusion Gastroscopy and pathological biopsy are still effective and reliable methods for early diagnosis of signet ring cell carcinoma of the stomach. Surgical treatment is the first choice.