中国实用外科杂志2011，Vol.31Issue(8)：666-669,4.
胃癌转移规律研究新进展
Recent advancement in metastasis of gastric cancer
徐惠绵 1徐岩1
作者信息
- 1. 中国医科大学附属第一医院胃肠肿瘤外科,辽宁沈阳110001
- 折叠
摘要
Abstract
Metastases of gastric cancer includes lymph node, peritoneal and blood metastasis serially according to the incidence. Depth of tumors invasion, macroscopic type, tumors >4cm in diameter, poor-differentiated and the presence of lymphatic invasion are important determinants of the lymph node metastasis. Lymph node metastasis is the most important prognostic factor for early gastric cancer. The cytological detection of exfoliated cancer cells (ECCs) is the criterion for identifying risk of peritoneal metastasis.Macroscopic serosal classification can be used to be a predictor of peritoneal recurrence. Carcinoembryonic antigen (CEA) and heparanase have been considered the valuable indicator to predict peritoneal metastasis. Gastric cancer with elevated type, well-differentiated, hepatoid adenocarcinoma and the presence of venous invasion are associated with liver metastasis. The characteristics of gastric cancer with lung or bone metastasis include the infiltrating carcinoma, poor-differentiated and the presence of venous invasion.关键词
胃癌/淋巴结转移/前哨淋巴结/腹膜转移/血行转移Key words
gastric cancer/lymph node metastasis/sentinel lymph node/peritoneal metastasis/blood metastasis分类
医药卫生引用本文复制引用
徐惠绵,徐岩..胃癌转移规律研究新进展[J].中国实用外科杂志,2011,31(8):666-669,4.
