Studies on the mode of recurrence of gastric cancer in autopsied cases.

概要

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Eighty six patients who died of gastric cancer were examined at autopsy. They were classified into 3 groups-34 recurrent cases after gastric resection, 10 non resectable cases and 42 non operative cases. Modes of recurrence were analysed based on the comparison between the operative findings and the autopsy findings. Following observations were made.1) Recurrence of antral cancer was noted in the subhepatic region.2) Modes of recurrence were not related to the operative procedures.3) Non-curative operation was frequently caused by severe local recurrence.4) Severe peritoneal dissemination was most frequently caused by poorly differentiated adenocarcinoma.5) Recurrence in the liver was not correlated with the histological type of the primary cancer.6) In cases autopsied within 1 year following operation, severe recurrence of perito-neum, liver, lung and pleura were fouud.On the other hand, in cases of more than 3 year-survival at autopsy, anastomosal recurrences were most frequently seen.7) Nine cases in which surgical cut ends were free from cancer, had anastomosal recurrences at autopsy.8) Recurrence in the lung with no liver metastasis was always accompanied with the remarkable pleural dissemination
一般社団法人国立医療学会の論文