Smith E B
J Natl Med Assoc. 1983 Mar;75(3):311-3.
During the period of January 1, 1957 to January 1, 1982, complete inpatient and outpatient records of 62 cases of synchronous cancers of the gastrointestinal tract were submitted for a retrospective analysis. The total number of gastrointestinal cancer cases from the Saint Francis General Hospital and two affiliating hospitals was 1,550 with a resultant synchronous cancer incidence of 4 percent. In this small series of 62 cases, the operability rate was 100 percent, with a resectability rate of 96 percent. The surgical morbidity and mortality rates were 12 percent and 3.2 percent, respectively.The most frequent clinical manifestations were pain, borborygmi, nausea, vomiting, food intolerance, dysphagia, hematemesis, rectal bleeding, and weight loss.The five and ten year survival in the synchronous group was 82 percent and 64 percent, respectively, as compared with 36.1 percent and 27.8 percent for the single malignant group.
在1957年1月1日至1982年1月1日期间，提交了62例胃肠道同步癌患者的完整住院和门诊记录，进行回顾性分析。圣弗朗西斯综合医院及其两家附属医院的胃肠道癌病例总数为1550例，同步癌发病率为4%。在这一小系列的62例病例中，可手术率为100%，可切除率为96%。手术 morbidity 和死亡率分别为12%和3.2%。最常见的临床表现为疼痛、肠鸣音、恶心、呕吐、食物不耐受、吞咽困难、呕血、直肠出血和体重减轻。同步癌组的五年和十年生存率分别为82%和64%，而单一恶性肿瘤组分别为36.1%和27.8%。 （注：原文中“morbidity”直译为“发病率”在医学语境不太准确，可能结合上下文这里是指手术并发症发生率等意思，但按要求不添加解释，保留原文英文表述）
