LONG TERM RESULTS AFTER GASTRECTOMY WITH REGARD TO THE DEGREE OF SEROSAL INVASION OF GASTRIC CANCER
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概要
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In 650 surgical cases of gastric cancer, we studied the clinicopathological findings and cumulative survival rate in relation to the degree of serosal invasion (S-factor). In positive cases of S-factor, total gastrectomy or combined resection of adjacent organs occurred with a high percentage. In the largest sized tumors, S0 was frequent in tumors of less than 3.9 cm, S1 and S2 were frequent in those of 4.0-7.9 cm, and S3 was frequent in those of more than 8.0 cm. Many cases of S1 did not agree with regard to the depth of invasion, and in particular we tended to underestimate exposure to the serosa (se). S-factor increased in proportion to the degree of lymph node metastasis, so that S-factor increased in proportion to the degree of lymph node metastasis, so that S-factor was considered useful as an index for estimating the extent of gastric resection or the degree of lymph node dissection. Survival rate decreased in proportion to S-factor. Survival rates for S0, S2 and S3 agreed with regard to survival rate and depth of invasion, but the survival rate for S1 was influenced by the depth of invasion or lymph node metastasis.
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