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Retrospective studies of gastric cancer with hepatic metastases
- Source :
- The Kurume Medical Journal. 37:271-276
- Publication Year :
- 1990
- Publisher :
- Kurume Medical Journal, 1990.
-
Abstract
- From 1979 to 1988, a total of 1265 cases of gastric cancer were admitted to our Institute. Of these, 80 cases (6.3%) involved hepatic metastasis. Thirty-eight cases (47.3%) underwent gastrectomy (24 distal, 2 proximal, 11 total and one partial). Of these 38 cases, 7 underwent a combined resection of a simultaneous metastatic hepatic tumor. A total of 19 (67.9%) of the 28 cases in H1, 6 (37.5 %) of the 16 cases in H2, and 13 (36.1%) of the 36 cases in H3 underwent gastrectomy. Hepatic metastasis occurred most frequently (18.2%) in Borrmann type 1, 5 % in type 2, 14.9% in type 3 and 8.7% in type 4. Of all 593 resected advanced cases, there were 283 differentiated type, with a hepatic metastasis rate of 14.5%, and 310 undifferentiated type with 7.1 % rate of hepatic metastasis. In H1 and H2, the prognosis after primary gastric cancer resection was better than for unresected cases. Moreover, there have been reports recently of long-term survival using continuous hepatic arterial infusion of anti-cancer durgs, and of combined resection of the metastatic hepatic tumor after curative gastrectomy. Therefore we should not give up these H1 and H2 patients.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Gastroenterology
Hepatic arterial infusion
Unresected
Gastrectomy
Stomach Neoplasms
Internal medicine
Humans
Medicine
Aged
Retrospective Studies
Aged, 80 and over
Combined resection
business.industry
Liver Neoplasms
Cancer
Retrospective cohort study
General Medicine
Middle Aged
Prognosis
medicine.disease
Hepatic metastasis
Female
Hepatic tumor
business
Subjects
Details
- ISSN :
- 18812090 and 00235679
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- The Kurume Medical Journal
- Accession number :
- edsair.doi.dedup.....4b79823348381d611a60896e3d576b63