Fedorov V D, Tugarinov A I, Nikolaev A V, Doroshenko G N
Vestn Khir Im I I Grek. 1979 Sep;123(9):7-10.
The observations over 15 cases of primary multiple stomach tumors (1.93% of cases of stomach cancer) are presented in the article. The synchronous tumors were diagnosed in 5 patients, the metachronous ones--in 10. As a rule, the synchronous lesion of the stomach is recognized at the operation or at histological study of ablaed stomach. In metachronous evolution of tumors cancer of the stomach stump was found within the follow-up period--from 2 to 26 years. To choose the volume of a surgical intervention for cancer of the stomach, it is expedient to carry out the biopsy of the mucous membrane from various sites during gastroscopy. The patients, operated upon for cancer of the stomach, need an active follow-up without time limitation.
本文介绍了对15例原发性多发性胃肿瘤（占胃癌病例的1.93%）的观察结果。5例患者诊断为同时性肿瘤，10例为异时性肿瘤。通常，胃的同时性病变在手术时或切除胃的组织学检查中被发现。在肿瘤的异时性演变中，在随访期间（2至26年）发现了胃残端癌。为选择胃癌手术干预的范围，在胃镜检查时从不同部位进行黏膜活检是适宜的。接受胃癌手术的患者需要进行无时间限制的积极随访。
