2002 年在日本治疗的胃癌：JGCA 全国注册处 2009 年度报告。

Gastric cancer treated in 2002 in Japan: 2009 annual report of the JGCA nationwide registry.

机构信息

Department of Surgery, Niigata Cancer Center Hospital, 2-15-3 Kawagishi-cho, Chuo-ku, Niigata, 951-8566, Japan.

出版信息

Gastric Cancer. 2013 Jan;16(1):1-27. doi: 10.1007/s10120-012-0163-4. Epub 2012 Jun 23.

BACKGROUND

The Japanese Gastric Cancer Association (JGCA) started a new nationwide gastric cancer registration in 2008.

METHODS

From 208 participating hospitals, 53 items including surgical procedures, pathological diagnosis, and survival outcomes of 13,626 patients with primary gastric cancer treated in 2002 were collected retrospectively. Data were entered into the JGCA database according to the JGCA classification (13th edition) and UICC TNM classification (5th edition) using an electronic data collecting system. Finally, data of 13,002 patients who underwent laparotomy were analyzed.

RESULTS

The 5-year follow-up rate was 83.3 %. The direct death rate was 0.48 %. UICC 5-year survival rates (5YEARSs)/JGCA 5YEARSs were 92.2 %/92.3 % for stage IA, 85.3 %/84.7 % for stage IB, 72.1 %/70.0 % for stage II, 52.8 %/46.8 % for stage IIIA, 31.0 %/28.8 % for stage IIIB, and 14.9 %/15.3 % for stage IV, respectively. The proportion of patients more than 80 years old was 7.8 %, and their 5YEARS was 51.6 %. Postoperative outcome of the patients with primary gastric carcinoma in Japan have apparently improved in advanced cases and among the aged population when compared with the archival data. Further efforts to improve the follow-up rate are needed.

CONCLUSIONS

Postoperative outcome of the patients with primary gastric carcinoma in Japan have apparently improved in advanced cases and among the aged population when compared with the archival data. Further efforts to improve the follow-up rate are needed.

背景

日本胃癌协会（JGCA）于 2008 年启动了一项新的全国性胃癌登记。

方法

从 208 家参与医院中，回顾性收集了 2002 年治疗的 13626 例原发性胃癌患者的 53 项手术程序、病理诊断和生存结果，包括外科手术、病理诊断和生存结果。使用电子数据采集系统，根据 JGCA 分类（第 13 版）和 UICC TNM 分类（第 5 版）将数据输入 JGCA 数据库。最后，分析了 13002 例接受剖腹手术的患者的数据。

结果

5 年随访率为 83.3%。直接死亡率为 0.48%。UICC 5 年生存率（5YEARSs）/JGCA 5YEARSs 分别为 IA 期 92.2%/92.3%、IB 期 85.3%/84.7%、II 期 72.1%/70.0%、IIIA 期 52.8%/46.8%、IIIB 期 31.0%/28.8%和 IV 期 14.9%/15.3%。80 岁以上患者的比例为 7.8%，其 5YEARS 为 51.6%。与档案数据相比，日本原发性胃癌患者的术后结果在晚期病例和老年人群中明显改善。需要进一步努力提高随访率。