<原著>胃癌手術における術中洗浄細胞診の意義

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The cytological study had been done for the detection of cancer cells in the abdominal cavity at the operation by peritoneal lavage technique in 42 primary gastric cancer patients, closely related with the grades of macroscopic serosal involvement and disseminated peritoneal metastasis in 161 cases of the curative resection of primary gastric cancer patients at the Department of Surgery, Kinki University Hospital from April 1975 to December 1980. The histological metastases of regional lymph nodes were correlated with the grades of macroscopic serosal involvement, but the incidence of disagreement with the grades of macroscopic serosal involvement and histological depth invasion of gastric wall was indicated as 32.3%, remarkably in the patients with suspected and overt serosal involvement. The incidence of positive cytology was found 20% in the patients without any serosal involvement, which had a tendency to increase in proportion as the grades of S-number. In relation to the grades of disseminated peritoneal metastases and the results of cytology, the incidence of the positive cytology without any disseminated peritoneal metastasis was shown 14.3%, so it was supposed that positive cytology in these cases originated an isolated cancer cell from the metastatic foci of lymph node and others. The results of the cytological study might be closely related with the recurrent types and prognosis as a critical factor in the gastric cancer patient after surgery.
近畿大学の論文
1981-09-25

<原著>胃癌手術における術中洗浄細胞診の意義

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