胸部下部食道並びに噴門癌手術の遠隔成績とその病理組織学的検討

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The author studied pathogical historogy of 173 specimens obtained from radical operation of carcinomas of the lower thoracic oesophagus and cardia in Nakayama's Dept. of Surgery and evaluated it in the relation of prognosis. The following is the result of the author's studies. 1) In carcinoma of the lower thoracic oesophagus and cardia intraabdominal approach in only indicated in early carcinoma of cardia as radical . operation. Except this intrathoracic appraach is indicated as a rule in carcinoma of the lower thoracic oesophagus and cardia, and this principle is applied in Nakayama's Department of Surgery. 2) There is always posibility having infiltration of carcinoma up and down ward, outside of the wall of the oesophagus, whole lumen of the oesophagus and metastasis of the lymphatic glands, so that radical removal of these infiltrations and metastasis with carcinoma in desirable. Prognosis depends upon mainly radicability of operation. 3) There is no definite relation between prognosis and macroscopic classification of Borrmann, size of carcinoma and pathological historogy. Prognosis is always good in carcinoma which is early and not too malignant. Based on the above studies early diagnosis and operation is considered as a main factor which increases survival rate of carcinoma of the lower thoracic oesophagus and cardia.
千葉大学の論文