Wasmuth H H, Thorsen G, Nordgård K, Gjesdahl C
Kirurgisk avdeling, Harstad sykehus.
Tidsskr Nor Laegeforen. 1997 Mar 10;117(7):931-4.
Between 1982 and 1991, 112 patients were treated for gastric cancer at Harstad Hospital in Northern Norway. Early gastric cancer accounted for 20% of all the adenocarcinomas (110), which is high compared with figures from other western studies. The role of endoscopy for detecting early gastric cancer is discussed. The five year survival rate after radical surgery was found to be significantly higher for patients with early gastric cancer than for patients who underwent curative surgery for either infiltrative or regional cancer. For patients with a tumour that had invaded the regional lymph nodes the five year survival rate was only 10%. This result can be improved by more extended lymph node dissection. The perioperative mortality rate (8%) was usually a result of severe cancer cachexia or underlying cardial disease, and not anastomotic leakage. The results as regards the cure of early gastric cancer are comparable with those described in other studies.
1982年至1991年间，挪威北部哈斯塔德医院对112例胃癌患者进行了治疗。早期胃癌占所有腺癌（110例）的20%，与其他西方研究的数据相比这一比例较高。本文讨论了内镜检查在早期胃癌检测中的作用。研究发现，早期胃癌患者根治性手术后的五年生存率显著高于因浸润性癌或区域性癌接受根治性手术的患者。对于肿瘤已侵犯区域淋巴结的患者，五年生存率仅为10%。扩大淋巴结清扫术可改善这一结果。围手术期死亡率（8%）通常是由严重的癌症恶病质或潜在的心脏病导致的，而非吻合口漏。早期胃癌的治愈结果与其他研究中描述的结果相当。
