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对诊断为胃溃疡癌变的63例进行回顾性病理分析,着重讨论溃疡癌与癌溃疡的鉴别诊断。笔者认为可以把溃疡癌看作一独立类型,推测溃疡癌预后较普通胃癌好,提出对具有长期慢性溃疡病史且近期症状加重者,应采取胃镜下多块组织活检。
A retrospective pathological analysis was performed on 63 cases of cancerous lesions diagnosed as gastric ulcers, focusing on the differential diagnosis of ulcerative and cancerous ulcers. The author believes that ulcer cancer can be regarded as an independent type, presumably the prognosis of ulcer cancer is better than that of normal gastric cancer. It is proposed that for patients with a long history of chronic ulcer and recent symptoms worsening, multiple biopsies should be taken under gastroscopy.