黏液型与低分化型胃癌的临床病理特征、诊疗及预后比较

摘要

Objective To study the clinicopathological characteristics,diagnosis,treatment and prognosis between nlucinous gastric canc-er(MGC)and poorly differentiated gastric cancer(PDGC).Methods The clinical data of 18 cases of MGC and 98 cases of PDGC were retro-spectively reviewed,compared and analyzed Results There were significant differences(P<0.05)in age(t=5.07),frequency of peritonealseeding(χ2=7.881),distant metastasis(x26.262),and rate of radical resection(χ2=3.981)between MGC and PDGC.Except of sex,age,clinical stages,size of tunlor,level of infiltration,lymphatic metastasis,distal metastasis,liver metastasis and peritoneal seeding were influ-encing factors for ontconle of treahnent in MGC group and PDGC group.Conclusion The prognosis of MGC and PDGC is similar and it is impor-taflt in early detection and treatment of MGC and PDGC.%目的 探讨黏液型胃癌(MGC)与低分化胃癌(PDGC)的临床病理特征、诊断和影响预后的相关因素.方法 收集18例MGC患者和98例PDGC患者临床资料并进行比较分析.结果 MGC与PDGC患者发病年龄(t=5.07)、远处转移率(χ2=6.262)、腹膜种植率(χ2=7.881)和根治性切除率(χ2=3.981)差异均有统计学意义(P＜0.05).两组患者除性别对治疗效果无影响外,年龄、临床分期、肿瘤大小、浸润程度、淋巴结转移情况、是否远处转移、是否肝转移和腹膜种植均是影响治疗效果和预后的因素.结论 MGC与PDGC总体预后相当,早期发现和早期治疗对组织学类型较差的MGC和PDGC很重要.