Takahashi Y, Mai M, Ogino T, Ueda H, Kitamura T, Sawaguchi K, Ueno M, Minami S
Gan No Rinsho. 1985 Nov;31(14):1792-6.
The purpose of this study was to catagorize the metastatic patterns of advanced gastric cancer into liver and peritoneal metastases from the stromal behavior of the primary lesion in 278 patients. According to our data, peritoneal disseminations were encountered 5.0% of the medullary type, 30.0% of the intermediate type and 38.0% of the scirrhous type, while the corresponding figures for liver metastases were 28.8%, 6.0% and 1.9%, respectively. The differences among the three types were significant with both patterns of metastasis. From the present data, we assume that the histological pattern in the stroma of primary gastric cancer shows the biological behavior of cancer growth and metastatic patterns, particularly in close relation to peritoneal dissemination and liver metastases.
本研究的目的是根据278例原发性病变的基质行为，将进展期胃癌的转移模式分为肝转移和腹膜转移。根据我们的数据，髓样型腹膜播散发生率为5.0%，中间型为30.0%，硬癌型为38.0%，而肝转移的相应数字分别为28.8%、6.0%和1.9%。三种类型之间在两种转移模式上的差异均具有统计学意义。根据目前的数据，我们认为原发性胃癌基质中的组织学模式显示了癌症生长和转移模式的生物学行为，特别是与腹膜播散和肝转移密切相关。
