胆道癌取扱い規約とpTNM分類からみた胆嚢癌切除症例の検討

• 原 均

  大阪医科大学一般・消化器外科

• 森田 眞照

  大阪医科大学一般・消化器外科

• 左古 昌蔵

  大阪医科大学一般・消化器外科

• 土肥 健彦

  大阪医科大学一般・消化器外科

• 岩本 充彦

  大阪医科大学一般・消化器外科

• 井上 仁

  大阪医科大学一般・消化器外科

• 河合 英

  大阪医科大学一般・消化器外科

• 谷川 允彦

  大阪医科大学一般・消化器外科

書誌事項

タイトル別名

• Discussion about general rules for surgical and pathological studies on cancer of biliary tract and the pTNM classification on carcinoma of gallbladder

抄録

In 54 patients with gallbladder cancer resected in our department, their diseases were classified into 4 stages according to the general rules for surgical and pathological studies on cancer of the biliary tract (GRSPS) (the 4 th edition) and the pTNM classification (5 th edition) and their follow-up outcome were investigated.<BR>The number of patients on each stage classified according to the GRSPS were as follows: stage I: 18, stage II: 20, stage III: 7, stage IV a: 6, and stage IV b: 3 and those according to the pTNM classification (the 5 th edition) were stage I: 20, stage II: 12, stage III: 16, stage IV A: 3, stage IV B: 3. Thirteen cases (24%) were inconsistent between the both stages, and these factor was progression in the perigallbladder region in four and lymph node metastasis in nine. The inconsistent cases due to progression in the perigallbladder region were classified into stage IV a in the GRSPS and stage III in pTNM classification and all patients died of recurrence within one year after surgery. Among the inconsistent cases due to lymph node metastasis, cases that were positive for metastasis only in the first group lymph nodes were classified into stage II in the GRSPS, while stage III in pTNM classification. All these patients are still alive. In conclusion, patients classified into stage III by pTNM classification should be carefully treated, because they could be subdivided into two different populations with either favorable or unfavorable prognosis following radical surgery.

収録刊行物

• Tando

  Tando 15 (2), 98-103, 2001

  Japan Biliary Association

キーワード

• 胆嚢癌
• 胆道癌取扱い規約
• pTNM分類
• リンパ節転移

詳細情報

• CRID: 1390001205465812224
• NII論文ID: 130004675647
• NII論文ID: 10007326596
• NII書誌ID: AN10062001
• DOI: 10.11210/tando1987.15.2_98
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2002016456
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可