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[原发性胃非上皮性癌的手术治疗指征及治疗]

[Indication and treatment with surgical therapy in primary non-epithelial cancers of the stomach].

作者信息

Meyer H J, Huchzermeyer H, Ostertag H, Diehl V, Hassenstein E, Pichlmayr R

出版信息

Onkologie. 1981 Jun;4(3):168-72. doi: 10.1159/000214903.

DOI:10.1159/000214903
PMID:7022293
Abstract

The importance of surgical treatment in non-epithelial, primary malignant tumors of the stomach was investigated retrospectively in 27 cases. 85.2% of these tumors were non-Hodgkin lymphomas, 14.8% were leiomyosarcomas and Hodgkin's disease. There were no typical symptoms; those present resembled the symptoms of carcinomas and peptic ulcers. Most patients showed symptoms on average 6 months prior to diagnosis. Histocytological studies of endoscopic biopsies enabled a correct diagnosis to be made preoperatively in up to 75% of cases. The postoperative mortality was 14.8%; the 5-year survival rate was 56.2%. Thus the prognosis is significantly better than that of advanced cancer of the stomach.

摘要

回顾性研究了27例胃非上皮性原发性恶性肿瘤手术治疗的重要性。这些肿瘤中85.2%为非霍奇金淋巴瘤,14.8%为平滑肌肉瘤和霍奇金病。没有典型症状;出现的症状与癌和消化性溃疡的症状相似。大多数患者在诊断前平均6个月出现症状。内镜活检的组织细胞学研究能够在高达75%的病例中术前做出正确诊断。术后死亡率为14.8%;5年生存率为56.2%。因此,预后明显优于晚期胃癌。

相似文献

1
[Indication and treatment with surgical therapy in primary non-epithelial cancers of the stomach].[原发性胃非上皮性癌的手术治疗指征及治疗]
Onkologie. 1981 Jun;4(3):168-72. doi: 10.1159/000214903.
2
Cancer of the stomach.胃癌
Surg Clin North Am. 1967 Jun;47(3):621-6. doi: 10.1016/s0039-6109(16)38238-x.
3
[Endoscopic aspects of malignant non-Hodgkin lymphomas of the stomach].
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Management of gastric lymphomas.胃淋巴瘤的管理
Am J Surg. 1974 Jan;127(1):102-8. doi: 10.1016/0002-9610(74)90018-x.
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[Clinical considerations on primary malignant lymphomas of the stomach].[胃原发性恶性淋巴瘤的临床考量]
Chir Ital. 1980 Apr;32(2):253-79.
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[The diagnosis and surgical treatment of isolated lymphomas of the stomach].[胃孤立性淋巴瘤的诊断与外科治疗]
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Malignant lymphoma occurring in the residual stomach following gastrectomy: plus discussion based on the literature in Japan.胃切除术后残胃发生的恶性淋巴瘤:附基于日本文献的讨论
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A case of primary Hodgkin's disease of the stomach.一例原发性胃霍奇金病。
J Gastroenterol. 1995 Feb;30(1):103-7. doi: 10.1007/BF01211383.
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Elective total gastrectomy for cancer of the stomach: end results.胃癌选择性全胃切除术:最终结果
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引用本文的文献

1
[Long-term results following resection and esophageal reconstruction in esophageal cancer].[食管癌切除及食管重建后的长期结果]
Langenbecks Arch Chir. 1983;360(4):251-65. doi: 10.1007/BF01257429.
2
[Primary non-Hodgkin's lymphoma of the stomach].
Langenbecks Arch Chir. 1989;374(6):334-9. doi: 10.1007/BF01262812.