위내시경을 통한 위선암의 조직학적 연구

This report is an analysis of 108 cases of gastric adenocarcinoma diagnosed by gastrofiberscopy among whom the patients were visited or hoiipitalized at the Ewha Womane University Hospital from January, 1982 to March, 1984. The results obtained were summerized as follows. 1) In hiatologic subtypes of gastric adenocarcinoma, mucous cell carcinoma accounted for 67 cases(62%), pylorocardiac gland cell carcinoma 25 cases(23%), intestinal cell carcinoma 9 cases(8%), unclassified 8 cases(7%). 2) The male to female ratio was 1. 8: 1, the pylorocardiac gland cell carcinoma was more male predominant. 3) The peak age incidence was the 7th decade wiith 29%, the 6th decade with 28%, and 5th decade with 17%, The mucous cell carcinoma found at 30th decade but the pylorocardiac gland cell carcinoma and intestinal cell carcinoma were found after 50th deeade. 4) The localization of the gastric adenocarcinoma iin the stomach showed the antrum 55 cases(51%), most frequently and followed by body, cardia. The intestinal cell carcinoma wae not found at the cardia. 5) The macroscopic feature of the advanced gastric adenocarcinoma by gastrofiberscopy showed Borrmann's type III 39 caaea(35%), II and IV 29 cases(27% ) each other. The intestinal cell carcinoma was not formed an infiltrate of the type IV. 6) The marginal mucosa of gastric adenocarcinoma showed intestinal metaplasia(73%), and the intestinal cell carcinnma was more frequent relatively. 7) Alcian blue-PAS staining revealed more common in intestinal cell carcinoma than mucous cell carcinoma and pylorocardiae gland cell carcinoma of gastric adenocarcinoma.