总结１９８９年１月至１９９６年１２月收治的４０９例胃癌，发现胃一点癌６例。其中管状腺癌２例，低分化腺癌２例，印戒细胞癌２例。３例行Ｒ１手术，３例行Ｒ２手术。结合文献分析认为，外科、内镜和病理三方合作对胃一点癌的诊断至关重要；手术切除是主要治疗方法，分化差的癌，特别是有淋巴结肿大者，应行Ｒ２手术；中、高分化癌，在无淋巴结肿大的情况下，可行Ｒ１或Ｒ１＋手术。 Summarizing 409 cases of gastric cancer treated from January 1989 to December 1996, 6 cases of gastric cancer were found. There were 2 cases of tubular adenocarcinoma, 2 cases of poorly differentiated adenocarcinoma, and 2 cases of signet ring cell carcinoma. Three patients underwent R1 surgery and 3 patients underwent R2 surgery. Combined with literature analysis, surgical, endoscopic and pathological tripartite cooperation is essential for the diagnosis of gastric cancer. Surgical resection is the main treatment. Poorly differentiated cancers, especially those with lymphadenopathy, should undergo R2 surgery. Well-differentiated carcinomas may be performed with R1 or R1+ surgery in the absence of lymphadenopathy.