Remnant-Stump Gastric Cancer following Parlial Gastrectomy. Clinicopathological Studies.:Clinicopathological Studies
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概要
- 論文の詳細を見る
Forty-five cases of remnant-stump (R-S) gastric cancer were investigated retrospectively, comparing those which were initially benign (Group 1: 31 cases) with those which were initially malignant (Group 2: 14 cases). The incidence of R-S gastric cancer over all gastrectomy cases from 1967 to 1994 was 1.4% (45/3, 282). The mean period until development of the R-S gastric cancer following partial gastrectomy was 21.6 years in Group 1 and was 15.8 years in Group 2 (p<0.05). Of those R-S cases that underwent resection, total gastrectomy was selected for 82% in Group 1 and for 85% in Group 2. The incidence of negative lymph nodes was only 25% in Group 1 and 62% in Group 2 (p<0.05). The pathological stage I was 21% in Group 1 and 54% in Group 2 (p<0.05). The 5-year-survival rate was 32% in Group 1 and was 62% in Group 2 (p<0.05). To improve the prognosis for R-S gastric cancer, periodic endoscopic follow-up examinations to find any R-S cancer at the earliest stage is most important, especially in cases of a partial gastrectomy for an initially benign case.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Shirouzu Kazuo
Department Of Surgery Kurume University
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Toyonaga Atsushi
Department Of Medicine Division Of Gastroenterology Kurume University School Of Medicine
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Mizutani Kazuki
Department Of Mechanical Engineering Faculty Of Engineering Mie University
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Aoyagi Keishiro
Department Of Surgery Kurume University School Of Medicine
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TAKEDA JINRYO
Department of Surgery, Kurume University School of Medicine
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KODAMA ISSEI
Department of Surgery, Kurume University School of Medicine
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YANO SHOJIRO
Department of Surgery, Kurume University School of Medicine
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KOUFUJI KIKUO
Department of Surgery, Kurume University School of Medicine
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OHTA JUNJI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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YANO SHOJIRO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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KODAMA ISSEI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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AOYAGI KEISHIRO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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TOYONAGA ATSUSHI
Department of Medicine and Division of Gastroenterology and Endoscopy
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KOUFUJI KIKUO
Department o f Surgery, Kurume University School of Medicine
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TOYONAGA ATSUSHI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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TAKEDA JINRYO
Department o f Surgery, Kurume University School of Medicine
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SHIROUZU KAZUO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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Mizutani Kazuki
Department of Cardiology, Osaka City General Hospital
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