胃癌手術例における臨床像病理像と遠隔成績との関係

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I performed a study of determination of prognosis of operated gastric carcinoma. I observed serially and generally a relation between a clinical and pathologic pictures and remote results. Observed cases are 170 of well follow up patients after operation in 304 for these 10 years (1948-1957). I studied clinical phenomenon of 139 cases in which 128 well known the time of death and of 11 alived beyomd 5 years after operation and also studied pathologic phenomenon of 89 cases. Results are as follows: Cases of operated gastric carcinoma, an though suspected performance of radical operation, alived beyond 5 years are 35.5%. There is, however, 65 cases including patients without hearing any news concider already dead, 16.9% of survivor beyond 5 years after operation. Cause of good resuls is following: (a) Call on a doctor in early stage and accepted a proper therapy, (b) not yonger than 40 of age and has a well movable tumor, (c) Small tumor and no ascites is noted during the operation. A following observation is performed: (a) Macroscopic and histologic consideration of carcinoma, (b) with or without malign infiltration in the stump of a specimen, (c) with or without metastasis in lynphnodes, (d) grade of advance of carcinoma supected by infiltration of the gastric wall. These factors are of valuable reference of patients exclussive of relation between with or without metastasis of lymphnodes and remote results. On a view point of remots results, there is an intimate relation between the time one call on a doctor early he had an ill and a grade of malign infiltration of the gastric wall. In addition, there is much better result a one call on a doctor within three months after a symptom started. It is emphasized that, as the gastric carcinoma shows various types, prognosis after operation is not able to suspect only by way of clinical and pathologic pictures but should decide generally.
千葉大学の論文

著者

大久保正
国立千葉病院整形外科

胃癌手術例における臨床像病理像と遠隔成績との関係

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