同步性多灶性胃癌的临床病理特征及预后
Clinicopathologic characteristics and prognosis of synchronous multifocal gastric carcinomas.
作者信息
Otsuji Eigo, Kuriu Yoshiaki, Ichikawa Daisuke, Okamoto Kazuma, Hagiwara Akeo, Yamagishi Hisakazu
机构信息
Department of Surgery, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji Kamigyo-ku, Kyoto 602-8566, Japan.
出版信息
Am J Surg. 2005 Jan;189(1):116-9. doi: 10.1016/j.amjsurg.2004.03.013.
BACKGROUND
We sought to define differences between multifocal and solitary gastric carcinoma to decrease the risk of missing a cancer while resecting another more evident carcinoma.
METHODS
We retrospectively examined clinicopathologic characteristics of multifocal gastric carcinoma including anatomic distribution and postoperative survival.
RESULTS
Multifocal gastric carcinoma was seen more frequently when patients were older and when the largest tumor was small and at an early stage. More than half of accessory lesions were located near the main tumor. No significant difference in postoperative survival was seen between patients with multifocal and solitary carcinoma, whether early or advanced.
CONCLUSIONS
The entire stomach should be examined carefully before and during resection, especially when local or endoscopic surgery is performed.
背景
我们试图明确多灶性和孤立性胃癌之间的差异，以降低在切除另一个更明显的癌灶时漏诊癌症的风险。
方法
我们回顾性研究了多灶性胃癌的临床病理特征，包括解剖分布和术后生存率。
结果
多灶性胃癌在患者年龄较大、最大肿瘤较小且处于早期时更为常见。超过一半的附属病灶位于主肿瘤附近。多灶性癌和孤立性癌患者，无论早期还是晚期，术后生存率均无显著差异。
结论
在切除前和切除过程中应仔细检查整个胃部，尤其是在进行局部或内镜手术时。
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