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[复发性胃癌的治疗]

[Treatment of recurrent gastric cancer].

作者信息

Ota K, Nakajima T, Ishihara S, Oyama S, Wakabayashi K, Nishi M

机构信息

Division of Surgery, Cancer Institute Hospital.

出版信息

Gan To Kagaku Ryoho. 1994 Aug;21(11):1806-12.

PMID:8080300
Abstract

The recurrence rate of resected gastric cancer was 31.9%. The rate was in creasingly higher in proportion to the lack of radicality. The most common type of recurrence was peritoneal dissemination, followed by hematogeneous metastasis, local recurrence, and distant lymph node metastasis. The treatments for recurrence were surgery (9.3%) and chemotherapy (16.1%). Systemic chemotherapy (intravenous iv) was common, and local chemotherapy (intraarterial ia, intraperitoneal ip) was rate. The efficacy of systemic chemotherapy (iv) for recurrent gastric cancer without local recurrence was suggested. The efficacy of local chemotherapy (ia) was suggested for peritoneal dissemination and local recurrence.

摘要

胃癌切除术后的复发率为31.9%。该比率随着根治性的缺乏而越来越高。最常见的复发类型是腹膜播散,其次是血行转移、局部复发和远处淋巴结转移。复发的治疗方法为手术(9.3%)和化疗(16.1%)。全身化疗(静脉注射)很常见,局部化疗(动脉内、腹腔内)较少。提示全身化疗(静脉注射)对无局部复发的复发性胃癌有效。提示局部化疗(动脉内)对腹膜播散和局部复发有效。

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