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1、(0%)o肿瘤部位，患者年龄，性别与淋巴结转移无明显相关(P>0.05)。不同分组淋巴结转移与胃癌所在部位有关，近贲门部以Nol,No2,No3最常见，胃体部以No3,No4,N06最常见，胃窦部以No3,No4,No5,No6,No7,No8常见，其中No6转移率最高，为61.7%(29/47)，其次为No3,为53.2%(25/47)。结论：胃癌淋巴结转移与肿瘤浸润深度，大体形态，大小和组织分型有关，胃癌患者中淋巴结转移率第一站最高为No6,No3,第二站为No7,N080关键词：胃癌，淋巴结，转移GASTRICSTUDYON
2、THERULESOFLYMPHNODEMETASTASISINCANCERABSTRACTObjective:ToexploretherulesoflymphnodemetastasisingastriccanceranditsinfluencingfactorsoMethods:Tocutoffthelymphnodesfromthespecimensofgastriccancerin72casesandstudythemretrospectivelyforitsinfluencingfactorsaccordingtonume
3、ricalstatistics.Results:Therewere72casesintotaland47casesofthemhadgotlymphnodemetastasis.Rateofthelymphnodemetastasiswas65.3%.1,743dissectedlymphnodeswereremovedandtheaveragewas24.3.349lymphnodeswhichwas20percentinalldissectedlymphnodeswasmetastatic.Thelymphnodemetast
4、asisofT1,T2,T3,T4were11.1%,40%,86.1%and90%respectively.TherewasobviouslydifferencebetweenTl,2andT3,4groups(P<0.01).RatesofLymphnodemetastasisamongearlygastriccancer,BormannI,II,III,andIVwere11.1%,50%,55.6%79.5%and100%respectively.Therateofthelymphnodemetastasisofthein
5、filtrativetumor(BormannIll,IV),whichwassignificantlyhigherthanthatofthecircumscribedtumor(BormannI,11)(P<0.05).Ratesoflymphnodemetastasiswere42.3%,73.1%and85%(P<001)correspondingtothedifferenttumordiametersofthat<3cm,3・5cmand>5cm.Theratesoflymphnodemetastasisamongwell
6、一differentiated,moderatelydifferentiated,andpoorlydifferentiatedadenocarcinomawere0%,41.2%and77.8%.Theratesoflymphnodemetastasisinsignet一ringcellcarcinomaandmucinousadenocarcinomawere61.5%and100%.Themetastasiswasnotrelatedtothetumorlocation,ageandsex(P>0.05).Butthemet
7、astasisofdifferentlymphnodesgroupswasrelatedtothetumorlocation.ThecommonlyseeninNol,No2,No3forthecancerlocatedinthecardia,inNo3,No4,No6inthegastricbodyandinNo3,No4,No5,No6,No6,No7,No8inthepylorus.AndthemostisinNo6(61.7%,29/47),thesecondisinNo3(53.2%,25/47).Conclusion:
8、Thelymphnodemetastasisofgastriccarcinomaiscloselyassociatedwiththedepthofinvasion,morphology,diametersanddifferentiation.Mos
