Visset J, Hamy A, Letessier E, Aillet G, Paineau J
Clinique chirurgicale I, hôpital G.R. Laënnec, CHRU de Nantes.
Chirurgie. 1992;118(4):236-42; discussion 243.
The authors make a retrospective study of a series of 57 patients aged 63 years in average, followed up from 1979 to 1989 for linitis plastica of the stomach. Surgical exeresis was performed in 49 patients (34 total gastrectomies and 15 partial gastrectomies, including five 2/3 gastrectomies, two 3/4 gastrectomies, four 4/5 gastrectomies and four upper polar esogastrectomies). The overall actuarial survival rate (n = 57) was 62.5% at 1 year, 40% at 2 years and 12.5% at 5 years. The prognosis did not vary with the delay of diagnosis, the invasion of the area of resection, the associated tissue differentiation and the invasion of lymph nodes. It did very according to the height of the tumor: 22% survival at 5 years for tumors under 6 cm, against 0% for tumors exceeding 6 cm (p < 0.001).
作者对平均年龄63岁的57例患者进行了回顾性研究，这些患者于1979年至1989年因胃皮革胃接受随访。49例患者接受了手术切除（34例全胃切除术和15例部分胃切除术，包括5例2/3胃切除术、2例3/4胃切除术、4例4/5胃切除术和4例上极食管胃切除术）。总体精算生存率（n = 57）1年时为62.5%，2年时为40%，5年时为12.5%。预后与诊断延迟、切除区域侵犯、相关组织分化及淋巴结侵犯无关。但与肿瘤高度有关：肿瘤小于6 cm者5年生存率为22%，肿瘤超过6 cm者5年生存率为0%（p < 0.001）。
