CAJ | 학술논문

目的探讨以贫血为首发症状的胃癌患者的临床病理特点.方法选取2009年1月至2012年6月以贫血为首发症状并经病理确诊为胃癌的患者,统计其一般资料、临床症状、病理分型分期、病灶部位和大小等情况,分析贫血与胃癌临床病理特点之间的关系.结果65.2%的患者年龄在6O 岁以上;89.9%的患者大便潜血阳性;53.9%的患者癌胚抗原升高;均为小细胞低色素性贫血.胃癌不同临床病理分期、病灶大小与贫血程度间有相关性(P<0.05),病灶部位、癌细胞分化程度与贫血程度无相关性(P>0.05).结论以贫血为首发症状的胃癌患者多为老年,常规普查大便潜血试验及癌胚抗原对诊断有意义,不明原因的贫血应考虑到胃癌的可能性.胃癌的大小及临床病理分期与贫血的发生存在相关性.
목적탐토이빈혈위수발증상적위암환자적림상병리특점.방법선취2009년1월지2012년6월이빈혈위수발증상병경병리학진위위암적환자,통계기일반자료、림상증상、병리분형분기、병조부위화대소등정황,분석빈혈여위암림상병리특점지간적관계.결과65.2%적환자년령재6O 세이상;89.9%적환자대편잠혈양성;53.9%적환자암배항원승고;균위소세포저색소성빈혈.위암불동림상병리분기、병조대소여빈혈정도간유상관성(P<0.05),병조부위、암세포분화정도여빈혈정도무상관성(P>0.05).결론이빈혈위수발증상적위암환자다위노년,상규보사대편잠혈시험급암배항원대진단유의의,불명원인적빈혈응고필도위암적가능성.위암적대소급림상병리분기여빈혈적발생존재상관성.
Aim: To investigate the clinical and pathological characteristics of gastric cancer patients with anemia as the first symptom. METHODS: Choose from the period of Jan-uary, 2009 to June, 2012, with the focus on patients whose first symptom were anemia and w-ere diagnosed with gastric cancer through pathological diagnosis, and by counting their general statistics, clinical symptoms, pathological staging, lesion location and size, etc, come to t-he analysis on the relation between anemia and clinical symptoms of gastric cancer. RESU-LTS: The age of patients over 60 were 65.2% ,positive fecal occult blood were 89.9%,elevated carcinoembryonic antigen were 53.9%, and al the patients were hypochro-mic microcytic anemia.There was significant relationship between gastric cancer in different clinical and pathological staging,lesion size and the degree of anemia(P<0.05).But no relationship between lesion position, cel differentiation and the degree of a-nemia (P>0.05).CON-CLUSIONS:Patients diagnosed with gastric cancer and with anemi-a as first symptom are mostly the elderly. Routine fecal occult blood test and carcinoembryo-nic antigen is helpful for diagnosis. Anemia with unidentified reasons may be related with g-astric cancer, and there is a correlation between the size and clinical pathologic stage of gastic cancer and the occurence of anemia.