1、Pathology Department of Hebei Medical University消化道肿瘤消化道肿瘤食管癌（食管癌（carcinoma of esophagus）胃癌（胃癌（carcinoma of stomach)大肠癌大肠癌(carcinoma of large intestine)原发性肝癌（原发性肝癌（primary carcinoma of liver）消化系统常见肿瘤课件1Pathology Department of Hebei Medical University消化系统常见肿瘤课件2Pathology Department of Hebei Medical U
2、niversity消化系统常见肿瘤课件3Pathology Department of Hebei Medical University消化系统常见肿瘤课件4Pathology Department of Hebei Medical University消化系统常见肿瘤课件5消化系统常见肿瘤课件6消化系统常见肿瘤课件7消化系统常见肿瘤课件8消化系统常见肿瘤课件9Pathology Department of Hebei Medical University消化系统常见肿瘤课件10消化系统常见肿瘤课件11Pathology Department of Hebei Medical Universi
3、ty消化系统常见肿瘤课件12消化系统常见肿瘤课件13消化系统常见肿瘤课件14Pathology Department of Hebei Medical University消化系统常见肿瘤课件15Pathology Department of Hebei Medical University消化系统常见肿瘤课件16Pathology Department of Hebei Medical University消化系统常见肿瘤课件17消化系统常见肿瘤课件18病理变化和类型病理变化和类型：好发部位：胃窦部，尤其是小弯侧；其好发部位：胃窦部，尤其是小弯侧；其次为贲门部。次为贲门部。消化系统常见肿瘤课
4、件19Fundus of stomach 胃底胃底Cardiac part 贲门部贲门部 Body of stomach 胃体胃体 Pyloric canal 幽门管幽门管 Pyloric antrum 幽门窦幽门窦Pyloric part 幽门部幽门部 消化系统常见肿瘤课件20This is the normal appearance of the stomach,which has been opened along the greater curvature.The esophagus is at the left.In the fundus can be seen the lesser
5、 curvature.Just beyond the antrum is the pylorus emptying into the first portion of duodenum is at the lower right.消化系统常见肿瘤课件21根据胃癌浸润胃壁的深度根据胃癌浸润胃壁的深度分期分期黏膜层；黏膜层；黏膜下层；黏膜下层；肌层；肌层；浆膜浆膜消化系统常见肿瘤课件22消化系统常见肿瘤课件23The gastric fundal epithelium has long tubular glands that are lined by pink-staining parietal
6、cells as well as mucus cells.消化系统常见肿瘤课件24早期胃癌早期胃癌：无论范围大小及是否有局部：无论范围大小及是否有局部淋巴结转移，癌组织浸润仅限于胃黏膜淋巴结转移，癌组织浸润仅限于胃黏膜层及黏膜下层。其术后层及黏膜下层。其术后5 5年生存率年生存率 90%90%。消化系统常见肿瘤课件25消化系统常见肿瘤课件26消化系统常见肿瘤课件27消化系统常见肿瘤课件28消化系统常见肿瘤课件29消化系统常见肿瘤课件30消化系统常见肿瘤课件31消化系统常见肿瘤课件32消化系统常见肿瘤课件33胃良、恶性溃疡的区别胃良、恶性溃疡的区别消化系统常见肿瘤课件34消化系统常见肿瘤课件35
7、消化系统常见肿瘤课件36消化系统常见肿瘤课件37Pathology Department of Hebei Medical University消化系统常见肿瘤课件38分化Pathology Department of Hebei Medical University消化系统常见肿瘤课件39消化系统常见肿瘤课件40消化系统常见肿瘤课件41消化系统常见肿瘤课件42消化系统常见肿瘤课件43消化系统常见肿瘤课件44消化系统常见肿瘤课件45消化系统常见肿瘤课件46消化系统常见肿瘤课件47消化系统常见肿瘤课件48消化系统常见肿瘤课件49消化系统常见肿瘤课件50消化系统常见肿瘤课件51消化系统常见肿瘤课件
8、52消化系统常见肿瘤课件53消化系统常见肿瘤课件54消化系统常见肿瘤课件55消化系统常见肿瘤课件56消化系统常见肿瘤课件57消化系统常见肿瘤课件58消化系统常见肿瘤课件59分期分期肿瘤范围肿瘤范围5 5年生存率年生存率%A A肿瘤限于粘膜层（早期癌）肿瘤限于粘膜层（早期癌）100100B B1 1肿瘤侵及肌层，未穿透，无淋肿瘤侵及肌层，未穿透，无淋巴结转移巴结转移6767B B2 2肿瘤穿透肌层，无淋巴结转移肿瘤穿透肌层，无淋巴结转移5454C C1 1肿瘤未穿透肌层，有淋巴结转肿瘤未穿透肌层，有淋巴结转移移4343C C2 2肿瘤穿透肌层，有淋巴结转移肿瘤穿透肌层，有淋巴结转移2222D D有远隔脏器转移有远隔脏器转移极低极低消化系统常见肿瘤课件60消化系统常见肿瘤课件61消化系统常见肿瘤课件62消化系统常见肿瘤课件63消化系统常见肿瘤课件64消化系统常见肿瘤课件65消化系统常见肿瘤课件66消化系统常见肿瘤课件67消化系统常见肿瘤课件68消化系统常见肿瘤课件69消化系统常见肿瘤课件70消化系统常见肿瘤课件71消化系统常见肿瘤课件72消化系统常见肿瘤课件73消化系统常见肿瘤课件74消化系统常见肿瘤课件75
