Iwanaga T, Imaoka S, Furukawa H, Hiratsuka M
Gan To Kagaku Ryoho. 1986 Aug;13(8):2512-9.
In surgical treatment of scirrhous gastric carcinoma, the important points are as follows: Extensive resection of the stomach should be performed. Left epigastric evisceration and extensive dissection of lymph nodes including the para-aortic nodes should be done for sufficient extirpation of the tissues around the stomach. Adjuvant therapy is recommended for intensive chemotherapy immediately after surgery and for postoperative long-term maintenance therapy. Development of a combined therapy which takes into account the characteristics of scirrhous gastric cancer is hoped for in the future.
在硬癌性胃癌的外科治疗中，要点如下：应进行胃的广泛切除。应进行左上腹脏器清除术，并广泛清扫包括主动脉旁淋巴结在内的淋巴结，以充分切除胃周围组织。建议术后立即进行强化化疗及术后长期维持治疗作为辅助治疗。希望未来能开发出一种考虑到硬癌性胃癌特点的联合治疗方法。
