Gebhardt C, Moschinski D, Hoffmann E, Gebhardt G
Langenbecks Arch Chir. 1977;343(2):113-22. doi: 10.1007/BF01262003.
46 patients were operated upon for an ulcerocancer of the stomach. In detail the differential diagnosis and the possibilities for preoperatively establishing an exact diagnosis are described. The good results after resection of the tumor (5-year-survival rates are for early cancer 100% and for the other tumors 67.7%) demonstrate, that usually for the ulcerocancer a total gastrectomy is unnecessary. Depending on the localisation of the tumor a proximal or distal resection of the stomach is sufficient. The results indicate that tumors, in which the ulcer floor shows a partial infiltration of carcinomatous cells, are not to be called as ulcerocancer. It is suggested to speak of these cases of "primary" carcinoma of the stomach.
46例患者接受了胃癌性溃疡手术。详细描述了鉴别诊断以及术前进行准确诊断的可能性。肿瘤切除后的良好结果（早期癌症的5年生存率为100%，其他肿瘤为67.7%）表明，通常对于胃癌性溃疡，全胃切除术是不必要的。根据肿瘤的位置，近端或远端胃切除术就足够了。结果表明，溃疡底部显示癌细胞部分浸润的肿瘤不应称为胃癌性溃疡。建议将这些病例称为胃“原发性”癌。
