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青海和上海是胃癌高发区。青海局限型胃癌41.0%,其中高分化癌占44.3%,上海局限型胃癌92.8%,高分化癌占45.1%;浸润型生长的胃癌青海为58.9%,其中低分化癌占54.6%;上海浸润型胃癌7.1%,其中低分化癌占43.6%,青海和上海胃癌的大体类型有显著差异(P<0.005)。胃癌侵犯胃壁深度与全国资料比较,青海胃癌在浅深肌层者51.9%,显著高于全国资料8.5%(P<0.005),浆膜/进浆膜层癌全国资料为90.8%,青海为48.1%,有非常显著差异(P<0.005)。青海370例进展期胃癌第一站淋巴结转移卒72.1%,器官扩散大网膜为28.6%,肝25.1%,结肠15.4%,胰腺14.1%,十二指肠7.5%。全国资料第一站淋巴结转移74.4%,大网膜转移27.5%,肝38.1%,胰腺18.1%,十二指肠10.8%,淋巴转移和器官扩散均高于青海。
Qinghai and Shanghai are high incidence of gastric cancer. In 41.0% of the localized gastric cancers in Qinghai, 44.3% in well-differentiated cancers, 92.8% in locally-limited gastric cancers and 45.1% in well-differentiated cancers in Shanghai and 58.9% in invasive-growth gastric cancers Poorly differentiated cancer accounted for 54.6%; Shanghai invasive gastric cancer 7.1%, of which poorly differentiated cancer accounted for 43.6%, the general type of gastric cancer in Qinghai and Shanghai were significantly different (P <0.005). Gastric cancer invasion of gastric wall depth compared with the national data, Qinghai gastric cancer in shallow myopia 51.9%, significantly higher than the national data 8.5% (P <0.005), serosal serosa into the national data for 90.8% in Qinghai and 48.1% in Qinghai (P <0.005). In 370 cases of advanced gastric cancer in Qinghai, 72.1% died of lymph node metastasis in the first stage, 28.6% in organ diffuse omentum, 25.1% in liver, 15.4% in colon, 14.1% in pancreas and duodenum 7.5%. National data of the first station lymph node metastasis 74.4%, omentum 27.5%, liver 38.1%, pancreas 18.1%, duodenum 10.8%, lymphatic metastasis and organ spread were higher than Qinghai.