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[良性疾病胃切除术后的残胃癌]

[Cancer of the gastric stump in gastrectomies for benign diseases].

作者信息

Eichelbaum E, Morreo J A, Alamanos R

出版信息

G E N. 1977 Apr-Jun;31(4):291-7.

PMID:97136
Abstract

The authors present 8 cases of cancer in the gastric stump of patients operated for benign pathologies. They reviewed 800 clinical histories of gastric cancers with microscopic confirmation. Incidence is of 1%. They analyzed age, sex, interval of time elapsed since the first operation, diagnosis, treatment and mortality of these patients. They emphasize that diagnosis is difficult and confusing but must be considered in patients with gastrectomies for benign causes done long ago and that present new symptoms or aggravation of the preexisting ones. For this reason these patients must be carefully worked up and studied. The mortality is very high. Treatment is surgical and radical.

摘要

作者报告了8例因良性病变接受手术的患者胃残端发生癌症的病例。他们回顾了800例经显微镜确诊的胃癌临床病史。发病率为1%。他们分析了这些患者的年龄、性别、首次手术后经过的时间间隔、诊断、治疗及死亡率。他们强调,诊断困难且容易混淆,但对于多年前因良性原因接受胃切除术且出现新症状或原有症状加重的患者必须予以考虑。因此,必须对这些患者进行仔细的检查和研究。死亡率非常高。治疗方式为手术根治。

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