Takeda M, Lewis P L, Choi H Y, Nitta K
Diagn Cytopathol. 1985 Jul-Sep;1(3):194-204. doi: 10.1002/dc.2840010307.
Six cases of gastric remnant cancer that occurred many years after Billroth II gastrectomy and gastrojejunostomy for benign disease are reported. They are classified as intestinal type and gastric type on the basis of their morphologic appearance. Their cytologic and histologic features are tabulated along with a summary of the clinical histories. Emphasis is placed on the possible high risk for patients with Billroth II procedures of developing cancer 10 to 25 years after surgery. Endoscopic follow-up including cytologic study is essential to diagnose gastric remnant cancer in its early stage to secure a better prognosis.
本文报告了6例因良性疾病行毕Ⅱ式胃切除和胃空肠吻合术后多年发生的残胃癌病例。根据其形态学表现将其分为肠型和胃型。将它们的细胞学和组织学特征制成表格，并总结了临床病史。重点强调了接受毕Ⅱ式手术的患者在术后10至25年发生癌症的高风险可能性。包括细胞学检查在内的内镜随访对于早期诊断残胃癌以获得更好的预后至关重要。
