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Retrospective Studies of Gastric Subserosal (ss) Cancer. In Comparison to pm- and se-Cancers
- Source :
- The Kurume Medical Journal. 39:83-87
- Publication Year :
- 1992
- Publisher :
- Kurume Medical Journal, 1992.
-
Abstract
- The deepest gastric cancer invasion into the tela subserosa is expressed as the ss-cancer. Subserosal gastric cancers (ss) can be divided into 4 subtypes; ss alpha, ss beta, (ss gamma) and ss gamma, pathologically. These four subtypes were compared to cancerous invasion into the muscularis propria (pm-cancer) and cancerous invasion with serosal exposure (se-cancer). During the 10 years from 1979 to 1988, a total of 938 cases with gastric cancer were resected in the First Department of Surgery, Kurume University Hospital. Of these, 104 (11.1%) cases were ss-cancers, consisting of 28 (27%) cases of ss alpha, 33 (32%) cases of ss beta, 4 (3%) cases of (ss gamma) and 39 (38%) cases of ss gamma. Pm-cancers and ss-cancers were most frequently observed in Borrmann type 2, macroscopically, and in the differentiated type, histologically. On the other hand, se-cancers were frequently observed in Borrmann type 3 and in an undifferentiated type. Positive lymph node metastases were found in 49.1% of pm-cancers, in 50.0% of ss-cancers and in 79.9% of se-cancers (p0.01), with no statistical difference in the positive lymph node metastasis rates for the subdivisions of ss-cancer. In ss-cancer, however, there was a statistical difference in prognosis according to the tumor size, and according to the degree of subserosal infiltration. The 5-year survival rate was 82.3% for pm-cancer, 75.0% for ss-cancer and 34.7% for se-cancer (p0.01).
- Subjects :
- Male
Pathology
medicine.medical_specialty
Tumor size
business.industry
Statistical difference
Retrospective cohort study
General Medicine
Middle Aged
University hospital
medicine.disease
Metastasis
Serous Membrane
Stomach Neoplasms
Lymphatic Metastasis
Subserosa
Humans
Medicine
Positive lymph node
Female
business
Survival rate
Retrospective Studies
Subjects
Details
- ISSN :
- 18812090 and 00235679
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- The Kurume Medical Journal
- Accession number :
- edsair.doi.dedup.....13ebdba7684adbfd6595af6bd83b3a0c