Salvador R, Alonso Cohen M, Peñalva F, Llaurado J M, Trias R
Service de Chirurgie Digestive, Hôpital de La Santa Cruz y San Pablo, Barcelone, Espagne.
Ann Chir. 1990;44(4):279-82.
We present 10 cases of early gastric carcinoma with lymph node invasion in a series of 40 cases early gastric cancer operated between 1974 and 1984 in our unit. Two tumours were mucosal and 8 were submucosal. One tumour was polypoid, 5 were superficiel and 4 were ulcerated. The mean number of invaded lymph nodes was 2.7. We performed a total gastrectomy in two patients and a distal gastrectomy in the other eight patients. Two patients died 26 and 27 months after the operation. The others are alive and tumour free. We believe that early gastric cancer must be treated aggressively by means of total or partial gastrectomy with resection of the N1 and N2 lymph node chains, when ever possible.
在我们单位1974年至1984年间接受手术的40例早期胃癌中，我们呈现了10例伴有淋巴结侵犯的早期胃癌病例。2例肿瘤为黏膜型，8例为黏膜下型。1例肿瘤为息肉样，5例为浅表型，4例为溃疡型。侵犯淋巴结的平均数量为2.7个。我们对2例患者实施了全胃切除术，对另外8例患者实施了远端胃切除术。2例患者分别在术后26个月和27个月死亡。其他患者存活且无肿瘤。我们认为，只要有可能，早期胃癌必须通过全胃或部分胃切除术以及切除N1和N2淋巴结链进行积极治疗。
