目的 探讨器官外非淋巴结性转移癌组织与胃癌预后相关性.方法 收集2003年5月至2006年5月江汉大学附属医院外科手术的胃癌患者标本70例,对胃癌标本进行溶脂后获取全数淋巴结及非淋巴结性转移癌组织;所取组织全部经常规石蜡包埋、切片,HE染色,普通显微镜下观察.结果 随着肿瘤向胃壁深部侵袭,二者的转移率都有显著的增加,但淋巴结与非淋巴结的转移率相似,差异无统计学意义(P>0.05).高分化腺癌在两种结构中的转移率都明显低于生长方式呈弥漫性生长的低分化与未分化腺癌,但淋巴结及非淋巴结之间的转移率差异无统计学意义(P>0.05).结论 非淋巴结小结节在病理分析时可以等同于转移性的淋巴结看待.%Objective To explore the relationship of organ outside the lymph node metastasis of non-cancer tissues and gastric cancer prognosis. Methods Lipolysis of gastric cancer samples were obtained after all lymph nodes and lymph node metastasis of non-cancerous tissue; by taking all by conventional paraffin-embedded tissue, sections, HE staining,observed under an ordinary microscope. Results With the deep tumor invasion to the stomach, the transfer rate between the two had significantly increased, but the lymph nodes and non-lymph node metastasis rate was similar,with no significant difference(P>0. 05). Adenocarcinoma in the two structures in the transfer rates were significantly lower than the growth pattern more diffuse growth of poorly differentiated and undifferentiated adenocarcinoma, but the lymph nodes, and between non-lymph node metastasis rate showed no significant difference(P>0. 05). Conclusion Non-pathological analysis of lymph nodules is in the same when viewed in metastatic lymph nodes.
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