胃癌孤立淋巴结的跳跃、横向转移及其临床意义.pdfVIP

…--峰顶院，.:11圃圃，，-四..:;:~ 胃癌孤立淋巴结的跳跃、横向转移 及其临床意义 【 摘要 】 目的 探讨胃癌单个淋巴结跳跃、横向转移的临床特征及意义。 方法 选取 80 例单个淋巴结转移的雷癌，比较跳 跃性转移与非跳跃性转移、横向转移与非横向转移者的临床特征(性别、年龄、肿瘤部位、肿瘤大小、浸润深度、组织学类型、检出淋巴 结总数及脉管瘤栓)，并比较其5 年总生存率的差异。 结果 非跳跃性转移发生率为 68.75%( 55/80) ，跳跃性转移发生率为 31.25% (25焰。)，跳跃性转移以第7 组最常见，第8 组次之。 跳跃性转移者与非跳跃性转移者肿瘤大小差异有统计学意义( P0.05) ， 5 年总生 存率的差异无统计学意义( P0.05);横向转移者与非横向转移者临床特征的差异无统计学意义( p 0.05 )，但 5 年总生存率的差异有 根治术依然是雷癌的必要 统计学意义( P0.05)。 结论 霄癌单个淋巴结转移以胃周为主，但也易出现跳跃性转移及横向转移，0 2 手术选择。 胃肿瘤 淋巴结转移跳跃转移横向转移 关键词 】 【 Clinlcal slgnlficance of solltary lymph node skipplng metastasls and transverse metastasls ln gastrlc cancer TU Chaoyong, ZHU Jinde , ZHOU Xinmu , et al. Department of General 51町ery， Lishui Central Hospital , Lishui 323000, China Abstract ObJectlve To investigate the clinical s ignificance of solitary Iymph node skipping metastasis and transverse metastasis in gastric cancer. Methods Clinicopathological features of 80 cases of gastric cancer w ith solitary Iymph node metastasis confirmed pathologically we re analyzed retrospectively. Clinicopathological features and 5- year overall surv ival rate we re compared between groups with or w ithout Iymph node skipping metastasis and between groups with or without Iymph node transverse metastasis. These featu res included gender, age , tumor location , t umor size , depth of infiltration, histolog ical type, Iymph node number and tumor embolus. Results The rate of non-skipping metastasis and skipping metastasis was 68.75% (55/80 )and 3 1.25% (25/80 )respectively. The Iymph node metastasis was found most frequently in the NO.7 Iymph node group fo llowed by the NO.8. T