摘要
目的分析胃神经内分泌肿瘤患者的病理组织学特点,为临床上其诊治提供参考。方法对经胃镜取病理组织学检查或术后行病理检查确诊为胃神经内分泌肿瘤的136例患者的临床资料进行回顾性分析。结果胃神经内分泌肿瘤的临床表现以上腹部不适或疼痛为多(66.9%),肿瘤均为单发性,其部位分布为:贲门部48例、胃体部47例、胃窦部21例、胃底8例、胃角部12例。肿瘤大体形态有溃疡型118例、息肉型18例。胃神经内分泌瘤17例,其中G_1级9例,G2级8例;胃神经内分泌癌119例,全部为G_3级。随访患者1、3、5年生存率分别为84.8%、50.2%、40.8%。结论胃神经内分泌肿瘤患者的预后与肿瘤病理类型、有无淋巴结或远处转移密切相关。
Objective To analyze the clinical and histopathological characteristics and prognosis of the patients with gastric neuroendocrine tumors,and provide reference for clinical diagnosis and treatment. Methods Clinical data of 136 patients confirmed to be gastric neuroendocrine tumors by gastroscopic histological examination or pathological examination after operation were retrospectively analyzed. Results Clinical manifestations of gastric neuroendocrine tumors were mainly abdominal discomfort or pain（ 66. 9%）,tumor were all single,the distribution were as follows： the cardia 48 cases,gastric body 47 cases,gastric antrum 21 cases,stomach bottom 8 cases,and gastric angle 12 cases. Tumor gross morphology included ulcer type 118 cases,and polyp type 18 cases. Among 17 cases of patients with gastric neuroendocrine tumors,there were 9 cases of G_1 stage and 8 cases of G_2 stage,119 cases of gastric neuroendocrine carcinoma were all G_3 stage. The 1-,3-,5-year survival rates were 84. 8%,50. 2%,40. 8%,respectively. Conclusion The prognosis of patients with gastric neuroendocrine tumors are closely related with tumor pathological type,the presence of lymph node or distant metastasis.
出处
《实用癌症杂志》
2016年第5期790-792,共3页
The Practical Journal of Cancer
关键词
胃神经内分泌瘤
病理组织学
预后
Gastric neuroendocrine tumors
Histopathology
Prognosis
