摘要
上海医科大学肿瘤医院1970~1992年22年间收治残胃癌12例,男性11例,女性1例,平均年龄55.0岁。因胃良性病变行胃大部切除者9例。确诊日期距首次手术的时间平均为10.3年;因胃恶性疾病行胃癌根治术者3例,距首次手术的时间平均为8.7年,10例行手术治疗,切除8例(66.7%),探查2例(16.7%),另2例已有远处转移而未行手术(16.7%)。手术切除组生存5年以上者4例。本文讨论了残胃癌的临床表现、胃镜检查及手术治疗,及早期诊断的重要性。
Twelve patients with gastric stump cancer were treated from 1970 to 1992 in this Hospital. In the group there were 11 males and 1 female with a mean age of 55. 0 years. The initial partial gastrectomy was done for benign diseases in 9 cases and for malignant lesions in 3 cases; the mean time intervals between the initial gastrectomy and the malignant diagnosis were 10. 3 years and 8. 7 years respectively Resection of gastric stump was performed for 8 patients. laparotomy was tried on other 2 cases , and nothing could be done for the last 2 disseminated cases 5-year survival rate is 50% in the resected group. The pathogenesis, clinical features, endoscopic examination and surgical treatment are discussed. Endoscopic examination better than GI for diagnosing this disease, note points for endoscopic examination, and multiple sites of biopsy are stressed. The authors suggest that aggressive surgical operation is the main choice and do not misjudge the stump cancer to be the recurrence of the initial resected cancer and thus give up surgical treatment.
出处
《肿瘤》
CAS
CSCD
北大核心
1994年第4期215-216,共2页
Tumor
关键词
残胃癌
切除术
胃肿瘤
Gastric stump cancer
Surgical operation.