[多灶性胃癌的治疗选择与预后]
[Therapeutic options and prognosis of multifocal gastric carcinomas].
作者信息
Wang Zheng, Zhou Zhi-Xiang, Liang Jian-Wei, Zhang Xing-Mao, Meng Jian-Bin
机构信息
Department of Abdominal Surgical Oncology, Cancer Hospital of Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2009 Oct 20;89(38):2705-7.
OBJECTIVE
To investigate the clinicopathological characteristics, therapeutic principles and prognosis of multifocal gastric carcinomas.
METHODS
The data of 22 patients with multifocal gastric carcinomas surgically treated at our hospital from January 1999 to December 2007 were reviewed retrospectively.
RESULTS
The multifocal gastric carcinomas occurred frequently in the elderly men; the percentage of early stage gastric carcinoma was 28.9%. Eighteen patients received radical resection while 4 patients palliative resection. The 1, 3 and 5-year survival rates were 80.9%, 52.4% and 28.6% respectively.
CONCLUSIONS
A thorough gastric examination should be made before and during resection so as to avoid a missing diagnosis. The postoperative survival in patients with multifocal gastric carcinomas is similar to those with a solitary lesion.
目的
探讨多灶性胃癌的临床病理特征、治疗原则及预后。
方法
回顾性分析1999年1月至2007年12月在我院接受手术治疗的22例多灶性胃癌患者的资料。
结果
多灶性胃癌好发于老年男性；早期胃癌的比例为28.9%。18例患者接受根治性切除，4例患者接受姑息性切除。1、3和5年生存率分别为80.9%、52.4%和28.6%。
结论
在切除前及切除过程中应进行全面的胃部检查，以避免漏诊。多灶性胃癌患者的术后生存率与单发病灶患者相似。
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