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胃癌的预后很差,5年生存率仅为10～15%,而早期胃癌可达90%。本研究对内镜下表现为良性胃溃疡(GU)的胃癌,就其病理和预后进行评估,并与内镜下表现为恶性的一般病例作一比较。材料和方法:作者从1975.1～1981.12收集了3个医院169例确诊前进行内镜检查的胃癌病例,内镜下表现为恶性的有159例,为A 组;表现为良性GU 的10例,为B 组。每例均取胃粘膜5～10块作活检。所有患者随访到1986年3月。两组的生存率采用Wilcoxon试验进行统计学处理。结果:内镜下示胃恶性改变的A 组159例(94.1%)
The prognosis of gastric cancer is poor. The 5-year survival rate is only 10-15%, and early gastric cancer can reach 90%. In this study, gastric cancer with endoscopic appearance of benign gastric ulcer (GU) was evaluated for its pathology and prognosis, and compared with the general case of endoscopically malignant. Materials and Methods: The authors collected 169 cases of gastric cancer before endoscopic diagnosis in 3 hospitals from 1975.1 to 1981.12. There were 159 cases of malignant endoscopically malignant lesions in group A and 10 cases of benign GU. Group B. In each case, 5 to 10 gastric mucosa were taken for biopsy. All patients were followed until March 1986. The survival rates of the two groups were statistically analyzed using the Wilcoxon test. Results: 159 cases (94.1%) in group A showed malignant change of gastric endoscopy