Cassell P, Robinson J O
Br J Surg. 1976 Aug;63(8):603-7. doi: 10.1002/bjs.1800630811.
A review is presented of 854 patients suffering from cancer of the stomach who attended St Bartholomew's Hospital between 1948 and 1962. The presentations and methods of investigations showed little change over the 15-year period, which is similar to other large series. The symptoms of anaemia and indigestion appear to be paramount in making an early diagnosis, and negative barium meal studies should not be accepted when these two symptoms are present. There are indications that early laporotomy and a more aggressive surgical approach may increase the 5-year survival rate.
本文回顾了1948年至1962年间在圣巴塞洛缪医院就诊的854例胃癌患者。在这15年期间，患者的临床表现和检查方法几乎没有变化，这与其他大型研究系列相似。贫血和消化不良症状似乎是早期诊断的关键，当出现这两种症状时，不应接受钡餐检查结果为阴性的结论。有迹象表明，早期剖腹手术和更积极的手术方法可能会提高5年生存率。
