Maekawa S, Takeo S, Ikejiri K, Anai H, Saku M
Department of Surgery, Fukuoka City Hospital, Japan.
Int Surg. 1995 Jul-Sep;80(3):200-3.
From 1979 through 1992, 482 cases with solitary early gastric cancer were resected in the Department of Surgery of the National Kyushu Medical Center Hospital. Among the 482 cases, the incidence of lymph node metastasis was 10.0% (48/482). The features of lymph node metastasis were studied while taking into account the combination of clinicopathological findings of the gastric cancer. Lymph node metastasis was rare in both the differentiated type mucosal cancers and submucosal cancers measuring 20 mm or smaller in size without depression. From these results, for early gastric cancer with the above-mentioned characteristics, either endoscopic therapy or local resection without lymph node dissection is considered to be sufficient treatment to obtain a favorable outcome.
1979年至1992年期间，国立九州医疗中心医院外科共切除482例孤立性早期胃癌病例。在这482例病例中，淋巴结转移发生率为10.0%（48/482）。结合胃癌的临床病理表现，对淋巴结转移的特征进行了研究。分化型黏膜癌和大小在20mm及以下且无凹陷的黏膜下癌的淋巴结转移均较少见。根据这些结果，对于具有上述特征的早期胃癌，内镜治疗或不进行淋巴结清扫的局部切除被认为是获得良好预后的充分治疗方法。
