書誌事項
- タイトル別名
-
- A Retrospective Clinicopathological Study on Adenocarcinoma of the Upper Part of the Stomach with Special Reference to Lymph Node Metastases.
この論文をさがす
抄録
Two hundred ninety-four patients with adenocarcinoma of the upper part of the stomach who underwent gastric resection were studied. We analyzed data on patients with lesions confined to the upper third of the stomach (43.9%) and on patients with lesions which, while primarily located in the upper portion of the stomach, had spread to the body of the stomach or esophagus. In this series, 72.8% of the patients were men with a median age of 60.0 years. Seventy-three percent of the patients had total gastrectomy, 17.8% had a proximal gastrectomy, 8.2% had a Billroth I or II gastrectomy, and 1.3% had a segmental or partial resection. Curative resection was carried out in 72.1%. Lymph node invasion was significantly highly correlated with the degree of tumor penetration of the gastric wall. None of the patients with lesions confined to the upper third of the stomach without macroscopically demonstrable serosal invasion had lymph node metastases in the suprapyloric, infrapyloric or along the left gastroepiploic. However, in patients with suspected serosal invasion, metastasis was found in 11.1%, 5.6%, and 2.8%, respectively. Total gastrectomy yielded a 5-year survival rate of 43.1%, proximal gastrectomy 32.5%, subtotal gastrectomy 83.3% and distal gastrectomy 44.4%. The 5-year survival rates after curative surgery were for total gastrectomy 58.1% and for proximal gastrectomy 42.7% with no significance difference. We conclude that proximal gastrectomy is indicated for patients with upper gastric carcinoma when it is confined to the upper third of the stomach and serosal invasion is not seen.
収録刊行物
-
- 日本消化器外科学会雑誌
-
日本消化器外科学会雑誌 25 (8), 2083-2090, 1992
一般社団法人 日本消化器外科学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390282679890606592
-
- NII論文ID
- 130004342189
- 110001325373
-
- NII書誌ID
- AN00192066
-
- ISSN
- 13489372
- 03869768
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可