[摘要]目的 分析胃黏膜活检中腺癌的病变特点，总结其临床病理特征。 方法 通过HE染色法对238例胃腺癌标本进行组织学分类，部分病例用组织化学PAS、AB染色法及免疫组织化学方法(Keratin、EMA、LCA等)来进行诊断及鉴别诊断。 结果 根据组织学特点，将癌组织分成乳头状腺癌、管状腺癌、黏液腺癌及黏液细胞癌。每种类型的腺癌细胞形态、排列方式均有所不同。 结论 胃腺癌的形态特点具有相对特殊性，掌握其特点并与一些疾病进行鉴别诊断可以减少误诊、漏诊。

    [关键词] 胃黏膜活检;腺癌;临床病理研究

    Clinicopathological characteristics of gastric adenocarcinoma from gastric mucosa biopsies

    ZHAO Jian-hua，FAN Ke-wu，LOU Bin

    (Department of Pathology，Affiliated Nanjing First Hospital of Nanjing Medical University，Nanjing210006，China)

    Abstract:Objective To analyze and summarize the clinicopathological characteristics of gastric adenocarci-noma diagnosed by biopsy.Methods 238cases of gastric adenocarcinoma were analyzed through HE staining.Par-tial cases were diagnosed and differential diagnosed by using histochemical methods like PAS and Alcian blue(AB)staining and immunohistochemical methods(Keratin ......