Nechaĭ A I, Kazanskiĭ D A, Dzhaiani S V, Kalashnikov S A
Vestn Khir Im I I Grek. 1987 May;138(5):16-20.
The authors present data of the clinical X-ray and morphological diagnostics of malignant gastric ulcers revealed in 96 patients. The total number of patients with gastric ulcer operated upon was 642. The morphological findings may serve the only reliable criterium of malignancy. Results of the operative treatment of such a malignant ulcer of the stomach are dependent on the spread of malignant invasion in the gastric wall. Treatment of patients with the involved mucosa only gave 5-year survival in 89.5%. Spread of the malignant invasion throughout the whole thickness of the gastric wall--50.0%. In patients with metastases into lymph nodes (independent of the invasion into the gastric wall) 5-year survival made up 29.4%.
作者展示了96例恶性胃溃疡患者的临床X线及形态学诊断数据。接受胃溃疡手术的患者总数为642例。形态学检查结果可能是恶性肿瘤的唯一可靠标准。这种胃恶性溃疡的手术治疗结果取决于恶性浸润在胃壁中的扩散情况。仅累及黏膜的患者治疗后5年生存率为89.5%。恶性浸润扩散至胃壁全层的患者5年生存率为50.0%。发生淋巴结转移的患者（无论胃壁浸润情况如何）5年生存率为29.4%。
