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青年胃癌外科治疗及病理诊断的规范性分析

徐丽华 陈素秀 蒋亦燕 施畅

浙江医学Issue(7):582-584,3.
浙江医学Issue(7):582-584,3.

青年胃癌外科治疗及病理诊断的规范性分析

A survey and analysis of surgical treatment and pathological diagnosis among young patients with gastric cancer

徐丽华 1陈素秀 1蒋亦燕 1施畅1

作者信息

  • 1. 325000 温州医科大学附属第一医院全科医学科
  • 折叠

摘要

Abstract

Objective To assess the current status of surgical treatment and pathological diagnosis of young patients with gastric cancer with reference of Ministry of Health's Guideline of Treatment and Diagnosis for Gastric Cancer (2011). Methods Clinical and pathological data of 189 patients aged≤40y with gastric cancer in Wenzhou from January 2006 to December 2011 were analyzed retrospectively.The questionnaire was designed with items of preoperative diagnostic procedures, surgical treat-ment, pathological features. Results The measurement of tumor marker was performed in 156 patient(82.5%) with a positive rate of 32.7%(51/156);165(87.3%) patients had a full abdominal enhanced CT examination and 153 cases received radical surgery(81.0%). In 117 cases (62.9%) the pathological reports described the tumor size and 176 (93.1%) patients achieved R0 resection. In patients undergoing lymph node dissection, 132 cases(86.3%) had more than 15 lymph nodes assessed and the median of assessed lymph nodes were 8. There were no significant differences in assessed items between 2006 and 2011 groups. Conclusion There are stil many deficiencies in clinical practice compared with 2011 Guideline in treatment and diagnosis for gastric cancer. Therefore the current status of diagnosis and treatment need to be improved and standardized with the reference of 2011 Guideline.

关键词

青年胃癌/外科治疗/病理诊断

Key words

Young patients with gastric cancer/Surgical treatment/Pathological diagnosis

引用本文复制引用

徐丽华,陈素秀,蒋亦燕,施畅..青年胃癌外科治疗及病理诊断的规范性分析[J].浙江医学,2014,(7):582-584,3.

基金项目

温州市科技局课题 ()

浙江医学

OACSTPCD

1006-2785

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