Cady B, Ramsden D A, Stein A, Haggitt R C
Am J Surg. 1977 Apr;133(4):423-9. doi: 10.1016/0002-9610(77)90126-x.
Records of 403 patients with gastric cancer seen between 1957 and 1966 at the Lahey Clinic Foundation have been analyzed. While the operability rate was 94 per cent and the resectability rate was 58 per cent, the cure rate was only 11 per cent and was unchanged from the previous decade. Significant correlation occurs with location, clinical type, histologic type, size of tumor, and number of lymph node metastases. The surgical approach is aggressive in exploration and in treating extensive but resectable cancers but is conservative for the average cancers and does not include resection of spleen, omentum, pancreas, and total stomach if possible. The histologic differentiation into diffuse and intestinal varieties provides additional prognostic information as well as clues to the etiology of varieties of gastric cancer.
对1957年至1966年间在拉希诊所基金会就诊的403例胃癌患者的记录进行了分析。虽然手术可切除率为94%，切除率为58%，但治愈率仅为11%，与前十年相比没有变化。肿瘤位置、临床类型、组织学类型、肿瘤大小和淋巴结转移数量之间存在显著相关性。手术方法在探查和治疗广泛但可切除的癌症时较为积极，但对于一般癌症则较为保守，且尽可能不包括脾脏、网膜、胰腺和全胃的切除。组织学上分为弥漫型和肠型，这不仅提供了额外的预后信息，也为胃癌不同类型的病因提供了线索。
