<原著>胆嚢癌31症例の臨床的検討

概要

論文の詳細を見る
Thirty-one cases of carcinoma of the gallbladder were clinically studied during the 10 years from 1977 to 1987. The patients examined were classified into groups in severity of the illness, 16% with stage I, 0% with stage II, 8% with stage III, 76% with stage IV, according to the histological staging, so that advanced cases accounted for about 80% of all the patients. Tumors were resected in 65% of the patients, and curative resections were performed in 23%. On the other hand, non-curative resections, no resections, and inoperable tumors accounted for 42%, 23%, and 12%, respectively of all the patients. The mean survival periods were : for curative resection 24±10.9 months (M±SD), for non-curative resection 8.5±3.0 months, for no resection 1.9±0.6 months, and for inoperable tumors 3.3±2.6 months. There was no significant difference between non-curative resection and no resection in mean survival time. Thus, if curative resection is performed, the prognosis is relatively good, but if curative resection can not be performed, the prognosis does not improve, even though the main tumor is resected. Therefore, it is considered that extensive resection must be performed aggressively to increase the number of cases of curative resection.
近畿大学の論文
1988-06-25