CAJ | 학술논문

目的探讨早期胃癌的预后因素,特别是肿瘤大小与早期胃癌预后的关系.方法回顾性分析1998年1月至2002年2月119例在中国医学科学院肿瘤医院外科治疗的早期胃癌的临床病理特征,分析早期胃癌的预后因素.结果本组早期胃癌病例5年生存率为90.9%,其预后主要与肿瘤大小相关,直径＜2 cm组、2 cm≤直径＜4 cm组与直径≥4 cm组5年生存率分别为100%、92.0%、80.8%,差异有统计学意义,P=0.024.同时比较淋巴结转移及浸润深度等因素,P值分别为0.816及0.371,差异无统计学意义.肿瘤大小与其他预后因素之间无明显相关性.结论早期胃癌浸润深度及淋巴结转移与其预后关系不明确,而肿瘤大小很可能是早期胃癌独立的预后因素,对指导早期胃癌预后及手术选择有实用价值.
목적 탐토조기위암적예후인소,특별시종류대소여조기위암예후적관계.방법 회고성분석1998년1월지2002년2월119례재중국의학과학원종류의원외과치료적조기위암적림상병리특정,분석조기위암적예후인소.결과 본조조기위암병례5년생존솔위90.9%,기예후주요여종류대소상관,직경＜2 cm조、2 cm≤직경＜4 cm조여직경≥4 cm조5년생존솔분별위100%、92.0%、80.8%,차이유통계학의의,P=0.024.동시비교림파결전이급침윤심도등인소,P치분별위0.816급0.371,차이무통계학의의.종류대소여기타예후인소지간무명현상관성.결론 조기위암침윤심도급림파결전이여기예후관계불명학,이종류대소흔가능시조기위암독립적예후인소,대지도조기위암예후급수술선택유실용개치.
Objective To investigate the prognostic factors of EGC patients,especially the relationship between prognosis and tumor size.Methods Clinical data of 119 EGC cases from 1998 to 2002 were analyzed retrospectively.Results The overall 5-year survival rate was 90.9%.and the survival rate of patients with tumor D＜2 cm.2 cm≤D＜4 cm and D≥4 cm respectively was 100%,92.0%and 80.8%(P=0.024).In this group,tumor stage,lymph node metastasis and tumor invasion depth did not affect the survival statistically.There was no correlation between tumor size and other prognostic factors.Conclusion Tumor size is an independent prognostic factor of patients with EGC,which may have some relevance to the surgical approach of EGC.