Pointner R, Schwab G, Königsrainer A, Bodner E, Schmid K W
II Department of Surgery, University of Innsbruck, Austria.
Gut. 1988 Mar;29(3):298-301. doi: 10.1136/gut.29.3.298.
Early carcinoma of the gastric remnant was diagnosed in 19 patients between January 1976 and January 1986. In all patients early cancer was suspected at endoscopy and confirmed by biopsy and histology. The main reason for endoscopic examination was diffuse epigastric pain suggestive of stump gastritis. The surgical procedure was stump gastrectomy. Two of the 19 patients were not operated on because of advanced age. In contrast with the poor prognosis of patients with cancers of the gastric remnant of tumour stages T2 to T4 according to the TNM-classification regardless of their NM-stage, patients with tumour stage T1N0 and T1N1 have a good prognosis.
1976年1月至1986年1月期间,19例患者被诊断为残胃癌早期。所有患者在内镜检查时均怀疑为早期癌症,并经活检和组织学证实。内镜检查的主要原因是弥漫性上腹部疼痛,提示残胃炎。手术方式为残胃切除术。19例患者中有2例因年龄较大未接受手术。与根据TNM分类处于肿瘤分期T2至T4的残胃癌患者(无论其NM分期如何)预后较差形成对比的是,肿瘤分期为T1N0和T1N1的患者预后良好。