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作者等对1973~1979年6年间的325例胃手术切除标本,进行了比较详细的检查,检出疣状胃炎25例,检出率为7.7%。病变部位集中于胃窦(23/25),其典型的大体形态为胃粘膜痘疹状隆起,直径0.5±cm,高出粘膜表面约0.2~0.3cm。重新取材制片,进行组织学观察,发现化生上皮有不同程度的不典型增生(间变)者6例;其中判定为Ⅱ级以上不典型增生4例,癌变倾向较大,故认为对此病变应给予足够的重视。
The authors conducted a detailed examination of 325 cases of gastric resection specimens during the six years from 1973 to 1979. 25 cases of verrucous gastritis were detected, and the detection rate was 7.7%. The lesions were concentrated in the gastric antrum (23/25). The typical general morphology was gastric eruption-like bulge with a diameter of 0.5±cm, which was about 0.2-0.3 cm above the mucosal surface. The samples were taken again and histological observations were performed. Six cases of metaplastic epithelium with dysplasia (interstitial hyperplasia) were found; among them, four cases with dysplasia grade II or higher were identified, and the cancer tends to be larger. Lesions should be given enough attention.