Pavlov K A, Volkov D P
Vopr Onkol. 1978;24(7):18-22.
The work is based on studying the examination and therapy data of 108 patients with gastric stump cancer. In patients subjected to proximal gastric resection (8 observations) tumor was recognized in all cases both by fibergastroscopy and radiography. Of 100 patients with cancer of the gastric stump following distal resection the true character of the pathology was revealed fibergastroscopically in 97% of cases, while radiographically--only in 86%. Directed gastrobiopsy and cytological test of the material obtained by fibergastroscopy supported the diagnosis of gastric stump cancer in 67.05% and 76.60% of cases accordingly. Squamous cell-infiltrative cancer of the gastric stump, located in the region of the postperative scar, proved to be mostly difficult to diagnose both by fibergastroscopy and radiography. No distinct correlation was noted between the efficiency of fibergastroscopy for diagnosing gastric stump cancer and the size of tumor, while tumors of no more than. 1.0--1.5 cm in diameter were found to be mostly difficult to diagnosis radiographically. Among 108 gastric stump cancer patients 25 patients were radically operated upon.
这项工作基于对108例残胃癌患者的检查和治疗数据的研究。在接受近端胃切除术的患者中（8例观察病例），通过纤维胃镜检查和放射造影在所有病例中均识别出肿瘤。在100例远端切除术后残胃癌患者中，纤维胃镜检查在97%的病例中揭示了病理的真实特征，而放射造影仅在86%的病例中做到了这一点。纤维胃镜检查获取材料的直接胃活检和细胞学检查分别在67.05%和76.60%的病例中支持了残胃癌的诊断。位于术后瘢痕区域的残胃鳞状细胞浸润癌，事实证明通过纤维胃镜检查和放射造影大多难以诊断。纤维胃镜检查诊断残胃癌的效率与肿瘤大小之间未发现明显相关性，而直径不超过1.0 - 1.5厘米的肿瘤通过放射造影大多最难诊断。在108例残胃癌患者中，25例接受了根治性手术。
