Prakash A, Pandit P N, Poddar P K, Sharma L K
Int Surg. 1975 May;60(5):270-2.
Seventy-five cases of stomach carcinoma were analyzed. The incidence was highest between 41 and 50 years of age. Male to female ratio was 4:1. The average duration of symptoms was one year. There was no correlation between incidence and the dietary and smoking habits of the patients. Epigastric pain was the commonest complaint followed byanorexis, vomiting and loss of weight. Anemia was the commonest finding. Epigastric mass was present in nearly 50% of cases. Pyloric obstruction was common. Upper gastrointestinal x-ray studies were rewarding. Occult blood was often found in the stools. The majority of patients were about equally distributed between blood groups A and O. Many patients had no or low acid levels but 7.5% had normal or high acid levels. At operation, the growth was commonly found near the pylorus. Diffuse involvement was infrequent. Curative surgery could be done in only 20% of cases. One-third of the patients had palliative gastrojejunostomy. The operative mortality and morbidity were high. The overall five-year survival was only 5%.
对75例胃癌患者进行了分析。发病率在41至50岁之间最高。男女比例为4:1。症状的平均持续时间为一年。发病率与患者的饮食习惯和吸烟习惯之间没有相关性。上腹部疼痛是最常见的症状，其次是厌食、呕吐和体重减轻。贫血是最常见的体征。近50%的病例可触及上腹部肿块。幽门梗阻很常见。上消化道X线检查很有价值。粪便中常发现潜血。大多数患者在A血型和O血型之间分布大致相等。许多患者胃酸水平无或较低，但7.5%的患者胃酸水平正常或较高。手术时，肿瘤通常位于幽门附近。弥漫性受累很少见。仅20%的病例可行根治性手术。三分之一的患者接受了姑息性胃空肠吻合术。手术死亡率和发病率都很高。总体五年生存率仅为5%。
