Chen C N, Lee P H, Lee W J, Chang K J, Chen K M
Department of Surgery, National Taiwan University Hospital, Taipei.
Hepatogastroenterology. 1998 Mar-Apr;45(20):492-5.
BACKGROUND/AIMS: When a solitary hepatic tumor occurs synchronously with gastric cancer, it is usually presumed to be metastatic. However, this may not be true in a place like Taiwan, where hepatocellular carcinoma (HCC) is prevalent. This study was conducted to examine the clinicopathological factors of both conditions.
A retrospective analysis of 14 patients who underwent a synchronous hepatectomy in combination with radical gastrectomy over the past 15 years was performed.
Seven patients had metastatic gastric cancer, and seven had concomitant gastric and hepatic cancer. Serosal invasion and lymph node metastasis were the major features in the patients with metastatic gastric cancer. Early gastric cancer was found in three of the patients with the coexisting primary cancers. No patient with solitary metastatic cancer survived more than one year, but long-term survival of more than two years was achieved in two patients with the two forms of cancer.
Double cancer of the stomach and liver should be kept in mind in patients with gastric cancer concomitant with a solitary hepatic tumor, in order to provide optimal treatment.
背景/目的：当孤立性肝肿瘤与胃癌同时发生时，通常认为是转移性的。然而，在台湾这样肝细胞癌（HCC）高发的地区，情况可能并非如此。本研究旨在探讨这两种疾病的临床病理因素。
对过去15年中接受同期肝切除联合根治性胃切除的14例患者进行回顾性分析。
7例为转移性胃癌，7例为同时性胃癌和肝癌。浆膜侵犯和淋巴结转移是转移性胃癌患者的主要特征。在同时存在原发性癌症的3例患者中发现了早期胃癌。孤立性转移性癌患者无一存活超过1年，但两种癌症形式的2例患者实现了超过2年的长期生存。
对于伴有孤立性肝肿瘤的胃癌患者，应考虑胃和肝双重癌，以便提供最佳治疗。
