Koga S, Kaibara N, Nishidoi H, Kimura O
Langenbecks Arch Chir. 1983;359(3):153-60. doi: 10.1007/BF01250977.
Of 40 gastric cancer patients leaving cancer cells in the oral stump of the resected stomach, 30 died of recurrence of cancer within 2 years after surgery. In 16 of them, patterns of recurrence were ascertained by relaparotomy or autopsy. Furthermore, recurrent cancer in the gastric stump was found in 10 of these patients. As histological features of primary cancer in stump recurrence patients, sporadic infiltration in the gastric wall and invasion into the lymph vessels in the submucosa were indicated. In infiltrative cancer, therefore, it is important to perform intraoperative cytologic or histologic examination of the oral stump of the resected stomach.
在40例胃癌患者中，切除的胃的残端留存癌细胞，其中30例在术后2年内死于癌症复发。在其中16例中，通过再次剖腹手术或尸检确定了复发模式。此外，在这些患者中有10例发现胃残端出现复发性癌症。作为残端复发患者原发性癌症的组织学特征，显示为胃壁的散在浸润和黏膜下层淋巴管的侵犯。因此，对于浸润性癌，对切除胃的残端进行术中细胞学或组织学检查很重要。
