Clinical pathological analysis of gastric endoscop

ncycgdxhl · Wysłany: Sob 12:09, 19 Mar 2011

Clinical pathological analysis of gastric endoscopy elderly

Decreased. (2) is easy with chronic gastritis and ulcer disease to be confused: the group treated by gastritis and ulcer disease no mitigating or aggravating the symptoms were more common treatment, ignoring further examination,[link widoczny dla zalogowanych], especially gastroscopy. (3) When the gastritis and ulcer disease of the upper gastrointestinal symptoms, especially poor treatment should be alert to the possibility of cancer, early endoscopy, in order to achieve early diagnosis and prompt treatment purposes. Endoscopic features of gastric cancer in the elderly 3.3 invasive ulcer and ulcer-type are more common. L elderly patients with early gastric cancer group, 129 patients with advanced gastric cancer,[link widoczny dla zalogowanych], 2 cases in which BorrmannI, Ⅱ type 45 cases, Ⅲ type 82 cases, in order to Borrmann11 type, Ⅲ type common in advanced gastric cancer Ⅲ, elderly group and non-elderly group there are differences between the two groups was significant (x.: 3.929, P = 0.047). Treatment of this group of patients, there were the typical microscopic changes of gastric cancer, endoscopic diagnosis is not difficult. Endoscopic diagnosis of gastric cancer is the best way as soon as possible on the suspected patients should gastroscopy, endoscopy in the elderly line, do not by clinical diagnosis and through the conclusion of gastrointestinal barium. 3.4 The distribution of lesion sites to antral gastric cancer angle position, accounting for 29.2% of non-elderly group, age group accounted for 15.4%, above the gastric body and gastric body parts accounted for 70.8% of non-elderly group, age group 84.6%, the following parts of the body of stomach with gastric body and gastric body or more parts there are differences between the two groups was significant (x = 6.907, P = 0.009). High gastric cancer migration to the site, because: (1) seniors increasingly fundic gland atrophy, on the border zone shift; (2) alcohol and tobacco smoking on the long-term stimulation of the strongest cardiac tumor promotion. The relative risk of 1.86 cardiac, pyloric cancer was 1.23, high when one of the first stomach. Suspicious lesions were negative, gastroscopy should be taken to the recent review, in order to avoid delay in treatment, early 5-year survival after radical surgery for more than 95%, while the radical surgery of advanced gastric cancer after 5-year survival rate of only about 40%, so the increase of gastric cancer Early diagnosis is the key to improving the diagnosis and treatment of gastric cancer '. 3.5 _4 pathological features of the literature reported increases with age, high grade and papillary adenocarcinoma was gradually increased, a good old group of gastric cancer cells, accounting for 40.8%, 26.7% of non-elderly group. Poorly differentiated cancer, 88 cases of non-elderly group,[link widoczny dla zalogowanych], 73.3%, 59.2% aged group, the difference between the two groups were significant (= 5.530, P = 0.019), histological great impact on the prognosis of the extent, attention to the elderly stomach examination, especially in endoscopy, early detection, early treatment will help improve the outcome. 3.6 The impact of lymph node metastasis is an important factor in the prognosis of gastric cancer, and Ming Wang reported that the deeper the tumor invasion, differentiation worse, the larger the diameter, in advanced gastric cancer increases with Borrmann type,[link widoczny dla zalogowanych], lymph node metastasis rate. Whether the aneuploid tumors, Wang and Ming mentioned as the highest rate of cardiac lymph node metastasis, the reason is the cardiac region aneuploid cancer around the body of stomach cancer,[link widoczny dla zalogowanych], gastric cancer, 2 times, and aneuploid lymph node metastasis was significantly 2 times higher than the body of tumor. Our data show that the old group of advanced gastric cancer with Borrmann Ⅱ, m-type majority differentiated gastric cancer cells accounted for 40.8% of advanced gastric cancer Ⅲ age-group and non-elderly group were significantly different; depth of invasion, tumor size and lymph node metastasis, no significant difference between the two groups.