<原著>胃癌リンパ節転移に関する検討

概要

論文の詳細を見る
Three hundred and seventy-nine cases with stomach cancer were observed for regional lymph nodes with regard to the mode of metastasis. In the cases 68 patients were examined by the clearing method. In the site of carcinoma, higher rates of lymph node metastasis were noted in the order of the whole stomach type, area C, area A and area M. The metastatic rate in the area C was 6.6% and 14.8% in No. 10 and No. 11 respectively, the lymph node metastatic rate of No. 7 was observed to be 19.7% namely, as high as the rate in the lymph nodes of Group 1 (by the general rules of the gastric cancer study, Japanese Research Society). In the area A, the metastatic rate of No. 12 and No. 13 was observed to be 4.5% and 5.1%, respectively namely, as high as the rate in the lymph nodes of Group 2. Among the 68 cases, which clearing method was employed to metastases were found in 38 cases (metastatic rate, 55.9 %), the number of lymph nodes examined was 59.2 per case and the degree of metastasis was 11.7%. Moreover, 66.6% of the lymph nodes was smaller than 4mm. Thus it was demonstrated that the lymph node map was available for determinig the metastatic lymph nodes relationship of the sites among the blood vessels and carcinoma, and that the clearing method was useful for the examination of minute lymph nodes and the mode of lymphatic metastasis.
近畿大学の論文
1985-09-25