通过大规模筛查发现的胃癌的外科治疗。

Surgical treatment of gastric cancer detected by mass screening.

作者信息

Hanazaki K, Sodeyama H, Wakabayashi M, Miyazawa M, Yokoyama S, Sode Y, Kawamura N, Miyazaki T, Ohtsuka M

机构信息

Department of Surgery, Nagano Red Cross Hospital, Japan.

出版信息

Hepatogastroenterology. 1997 Jul-Aug;44(16):1126-32.

PMID:9261611

Abstract

BACKGROUND/AIMS: It is crucial to improve the postoperative prognosis of patients with gastric cancer in geographic regions where the incidence of gastric cancer is high. This study compared the efficacy of surgical treatment in patients with gastric cancer detected by a mass screening survey with that of patients diagnosed in accordance with standard medical practice.

METHODOLOGY

The subjects included 189 patients with gastric cancer detected by a mass screening survey (screening group) who underwent surgical treatment from 1988 to 1995, and 517 patients who underwent a standard medical work-up (non-screening group).

RESULTS

The incidence of early gastric cancer, curative resectability rate, and 5-year survival rates between the screening and non-screening groups were 73.0% versus 48.4% (p < 0.01), 90.5% versus 66.7% (p < 0.01), and 86.2% versus 61.0% (p < 0.01), respectively.

CONCLUSIONS

Surgical treatment for patients with gastric cancer identified by mass screening is effective in saving lives and reduces the mortality from gastric cancer in the target population of mass screening. However, a further prospective randomized controlled study of this screening method will be necessary in the future.

摘要

背景/目的：在胃癌高发地区，改善胃癌患者的术后预后至关重要。本研究比较了通过大规模筛查发现的胃癌患者与按照标准医疗实践诊断的患者的手术治疗效果。