Schreiber H W, van Ackeren H, Kortmann K B, Schumpelick V
Langenbecks Arch Chir. 1978 Nov;347:61-9. doi: 10.1007/BF01579305.
For over a decade, therapeutic results in cases of macrocarcinoma have remained almost constant. The absolute 5-year survival rate is 10-15%. However, in cases of early detection, the 5-year survival rate is over 90%. Systematic screening to detect the cancers early has resulted. The practical results is the systematic observation of high-risk groups. The therapy of choice for macrocarcinoma and cancer that is detected early is subtotal resection. Resection of the cardia should be replaced by gastrectomy, which should also be performed only when defined diagnostic criteria are met.
十多年来，巨块型癌病例的治疗效果几乎没有变化。绝对5年生存率为10%至15%。然而，在早期发现的病例中，5年生存率超过90%。因此进行了系统筛查以早期发现癌症。实际结果是对高危人群进行系统观察。巨块型癌和早期发现的癌症的首选治疗方法是次全切除。贲门切除应改为胃切除术，且只有在符合明确的诊断标准时才应进行。
