Iitsuka Y, Matsui T, Hirooka Y, Kobayashi Y, Kishimoto H, Hiraoka H, Kimura A, Koga S
Gan No Rinsho. 1987 Mar;33(3):273-7.
The area of serosal cancerous invasion and intraperitoneal free cancer cells were examined in 360 gastric cancer cases. The positivity rate of intraperitoneal free cancer cells was 20% in the group with under 20 cm2 of serosal invasion, 59% with 20 cm2 to 30 cm2, and 76% over 30 cm. The postoperative survival rate was significantly lower in the group with free cancer cells than in the group without them. Prognosis was better in case with the area of serosal invasion was smaller. Hematogenous metastasis was frequent under 20 cm2, but over 20 cm2, peritoneal metastasis predominated.
在360例胃癌病例中检查了浆膜癌浸润面积和腹腔游离癌细胞情况。浆膜浸润面积小于20平方厘米的组中腹腔游离癌细胞阳性率为20%，20平方厘米至30平方厘米的组为59%，超过30平方厘米的组为76%。有游离癌细胞的组术后生存率明显低于无游离癌细胞的组。浆膜浸润面积较小的病例预后较好。20平方厘米以下血行转移常见，但20平方厘米以上则以腹膜转移为主。
