Clinicopathologic study of patients with Borrmann type iv gastric carcinoma
作者： Kaoru Kitamura , Richiko Beppu , Hideaki Anai , Koji Ikejiri , Shigeru Yakabe
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摘要: Between 1979 and 1993, 665 Japanese patients with advanced gastric cancer underwent surgery at our hospital. These were divided into two groups, consisting of 102 Borrmann type IV carcinoma, the remaining 563 all other types which then compared clinicopathologically. In 77.4% lesions demonstrated poorly differentiated adenocarcinoma, 99 classified as Stage III or IV. The resection rate was 87.2% (89/102) only 39 curative operations despite fact that 70 total gastrectomies performed. incidence peritoneal dissemination (29.4%) serosal invasion (97.0%) significantly higher in these patients. Microscopic lymph node metastasis positive 86.5%. 5-year survival 23.4% a operation 5.0% those noncurative (p < 0.01). Peritoneal most frequently noted recurrence patterns. We conclude early detection are both essential to improve prognosis cancer. addition potent postoperative chemotherapy regimen is also recommended.
sci-hub.se 参考文章(17)
Gerard V. Aranha, Raymond Georgen, Gastric linitis plastica is not a surgical disease. Surgery. ,vol. 106, pp. 758- 763 ,(1989) , 10.5555/URI:PII:0039606089901402
TNM classification of malignant tumours Published in <b>2010</b> in Chichester, West Sussex, UK ;Hoboken, NJ by Wiley-Blackwell. ,(1987) , 10.1007/978-3-642-82982-6
Daisuke Korenaga, Shunichi Tsujitani, Masaru Haraguchi, Takeshi Okamura, Ryuichiro Tamada, Keizo Sugimachi, Kohei Akazawa, Yoshiaki Nose, Long-term survival in Japanese patients with far advanced carcinoma of the stomach. World Journal of Surgery. ,vol. 12, pp. 236- 240 ,(1988) , 10.1007/BF01658063
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Tadashi Kano, Ryuichiro Tamada, Yoshishige Abe, Yoichiro Hiramoto, Takayuki Notsuka, Morio Shiraishi, Fumio Inoue, Ryunosuke Kumashiro, Yoshifumi Kodama, Kiyoshi Inokuchi, Postoperative long-term cancer chemotherapy (PLCC) extends life-span of non-curatively resected patients with stage IV gastric cancer. Surgery Today. ,vol. 12, pp. 203- 207 ,(1982) , 10.1007/BF02469588
Yoshihiko Maehara, Yasunori Emi, Sunao Moriguchi, Ikuo Takahashi, Motofumi Yoshida, Hiroki Kusumoto, Keizo Sugimachi, Postoperative chemotherapy for patients with advanced gastric cancer. American Journal of Surgery. ,vol. 163, pp. 577- 580 ,(1992) , 10.1016/0002-9610(92)90560-E
Hiroyasu Iishi, Reiko Yamamoto, Masaharu Tatsuta, Shigeru Okuda, Evaluation of fine-needle aspiration biopsy under direct vision gastrofiberscopy in diagnosis of diffusely infiltrative carcinoma of the stomach Cancer. ,vol. 57, pp. 1365- 1369 ,(1986) , 10.1002/1097-0142(19860401)57:7<1365::AID-CNCR2820570720>3.0.CO;2-8
Paul F. Engstrom, Philip T. Lavin, Harold O. Douglass, Kurt W. Brunner, Postoperative adjuvant 5-fluorouracil plus methyl-CCNU therapy for gastric cancer patients. Eastern Cooperative Oncology Group study (EST 3275). Cancer. ,vol. 55, pp. 1868- 1873 ,(1985) , 10.1002/1097-0142(19850501)55:9<1868::AID-CNCR2820550904>3.0.CO;2-B
D. M. Stablein, H. O. Douglass, Controlled trial of adjuvant chemotherapy following curative resection for gastric cancer Cancer. ,vol. 49, pp. 1116- 1122 ,(1982) , 10.1002/1097-0142(19820315)49:6<1116::AID-CNCR2820490609>3.0.CO;2-U
Kiyoshi Inokuchi, Takao Hattori, Tetsuo Taguchi, Osahiko Abe, Nobuya Ogawa, Postoperative adjuvant chemotherapy for gastric carcinoma analysis of data on 1805 patients followed for 5 years Cancer. ,vol. 53, pp. 2393- 2397 ,(1984) , 10.1002/1097-0142(19840601)53:11<2393::AID-CNCR2820531104>3.0.CO;2-L