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[胃癌的预后因素:胃浆膜侵犯和淋巴结受累]

[Prognostic factors in stomach cancer: invasion of gastric serosa and lymph node involvement].

作者信息

Belcastro G, Nicolanti V, Ferri M, Chiavellati L, Fratticioli C, Schillaci A

机构信息

V Clinica Chirurgica, Università degli Studi di Roma, La Sapienza.

出版信息

Minerva Chir. 1990 Oct 31;45(20):1287-91.

PMID:2082206
Abstract

Concerning prognostic factors in gastric cancer, the Authors analyse the main two influencing long-term prognosis: the depth of penetration of the tumor in the gastric wall and the presence of lymph node metastasis. 194 operated gastric neoplasms were staged, according to TNM classification (U.I.C.C., 1987) and divided into 4 groups: in the first group both the serosa and the lymph nodes were tumor-free; in the second both were involved; in the third only lymph nodes were involved; in the fourth only the serosa was involved. Crossed statistic analysis between groups showed that the only factor that influenced the long-term survival is the node involvement in the patients with tumor-free gastric serosa. These results correspond to most of the others in literature, and point to the connection between these two factors in defining the stage of the disease.

摘要

关于胃癌的预后因素,作者分析了影响长期预后的两个主要因素:肿瘤在胃壁中的浸润深度和淋巴结转移情况。根据TNM分类(国际抗癌联盟,1987年)对194例接受手术的胃肿瘤进行分期,并分为4组:第一组中,浆膜层和淋巴结均无肿瘤;第二组中,两者均受累;第三组中,仅淋巴结受累;第四组中,仅浆膜层受累。组间交叉统计分析表明,影响长期生存的唯一因素是胃浆膜无肿瘤患者的淋巴结受累情况。这些结果与文献中的大多数其他结果一致,并指出这两个因素在确定疾病分期方面的联系。

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