Feng S S
Tumor Hospital of Shanxi Province, Taiyuan.
Zhonghua Wai Ke Za Zhi. 1990 Sep;28(9):544-8, 573-4.
The specimens of 100 cases of carcinoma of the gastric cardiac were studied after curative resection between 1985 and 1988. A total of 2213 lymph nodes were obtained, which were then divided into 23 group and 3 station in accordance with the Japanese staging system for esophageal and gastric carcinoma. Our data were as follow: (1) Eighty eight out of the hundred had lymph nodes metastasis, giving a metastatic rate of 88%: (2) 647 of 2213 lymph nodes were positive for metastasis. The degree of metastasis was 29.2%. The degree of metastasis of station 1,2,3 were 32%, 32.82%, and 14.65% respectively. That of group 1,2,3,4,7 and 110 were 42.5%, 32%, 36%, 11%, 39%, and 20.5% respectively. The lymph nodes of group 12, 14, 15, 16 and 17 were not involved; (3) The extent of lymph nodes metastasis of cardiac carcinoma were closely related the bulk of carcinoma, gross appearance, depth of infiltration and histological type (P less than 0.05). The authors consider that abdominal lymph node metastasis were of importance for cardiac carcinoma. The group 7 should be cleaned first. Lymph nodes dissection would be started from the level of inferior pulmonary vein and ended at the pylorus region.
对1985年至1988年间接受根治性切除的100例贲门癌标本进行了研究。共获取2213枚淋巴结，然后根据日本食管癌和胃癌分期系统将其分为23组和3站。我们的数据如下：（1）100例中有88例发生淋巴结转移，转移率为88%；（2）2213枚淋巴结中有647枚转移阳性。转移程度为29.2%。第1、2、3站的转移程度分别为32%、32.82%和14.65%。第1、2、3、4、7和110组的转移程度分别为42.5%、32%、36%、11%、39%和20.5%。第12、14、15、16和17组的淋巴结未受累；（3）贲门癌的淋巴结转移范围与癌肿大小、大体外观、浸润深度和组织学类型密切相关（P<0.05）。作者认为腹部淋巴结转移对贲门癌很重要。应首先清扫第7组。淋巴结清扫应从肺下静脉水平开始，至幽门区域结束。
