胃癌子部位和结果变化-来自印度北部一个三级保健中心的长期经验
Naveen Kumar1, Sandeep Bhoriwal1, Amitabha Mandal1
1Department of Surgical Oncology, BRA-IRCH, AIIMS, New Delhi, India.
Indian journal of surgical oncology
|February 5, 2026
概括
胃癌发病率正在下降,但近位癌症病例正在上升. 这项研究分析了部位特定的胃癌流行病学,治疗和结果,揭示了近位与远位瘤的不同模式.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 胃癌是全球领先的恶性瘤,发病率趋势不断变化.
- 接近胃癌病例的显著增加与发生率的整体下降形成鲜明对比.
- 了解子站点特定特征对于有效管理至关重要.
研究的目的:
- 审查和分析胃癌的分站特异性流行病学,治疗模式,病理学和生存结果.
- 为了比较近道,体内和远部胃癌的特征和结果.
- 根据瘤位置确定影响胃癌预后的因素.
主要方法:
- 从前性维护数据库 (1994-2022) 中对372名胃癌患者进行了回顾性分析.
- 胃癌分为近位,体位和远位子部位的分类.
- 评估患者的人口统计,症状,瘤阶段,结节状况,治疗和复发模式.
主要成果:
- 距离性胃癌是印度最常见的亚型,通常在晚期呈现.
- 靠近性癌症表现出侵略性病理和更高的复发率,尽管显示出更高的平均整体存活率 (OS).
- 节点阳性在远端癌症 (67%) 中最高,而身体癌症的复发率最高.
结论:
- 胃癌亚部位显著影响表现,病理和结果.
- 靠近性胃癌具有侵略性特征和更高的复发率,需要量身定制的治疗策略.
- 晚期呈现和特定的复发模式 (腹膜,肝脏) 强调了早期检测的必要性.
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