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- TAIRA Koji
- Department of Surgery, Asahikawa City Hospital
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- ATSUTA Tomoyoshi
- Department of Surgery, Asahikawa City Hospital
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- ITOH Noriyuki
- Department of Surgery, Asahikawa City Hospital
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- HISHIYAMA Hohei
- Department of Surgery, Asahikawa City Hospital
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- NENOHI Masaaki
- Department of Surgery, Asahikawa City Hospital
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- NISHIYAMA Tohru
- Department of Surgery, Asahikawa City Hospital
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- KOSHIKO Susumu
- Department of Surgery, Asahikawa City Hospital
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- KATOH Hiroyuki
- Second Department of Surgery, Hokkaido University, School of Medicine
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- TANABE Tatsuzoh
- Second Department of Surgery, Hokkaido University, School of Medicine
Bibliographic Information
- Other Title
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- Borrmann 4型胃癌の外科治療成績
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Description
A clinicopathological study was undertaken in 44 patients with Borrmann type 4 gastric cancer. The male: female ratio was 1.10:1 and the average age was as high as 53.8 years. Total gastrectomy was performed in 77.3%, lymphadenectomy (R2 and above) done in 67.4% and combined resection of adjacent organs done in 56.8%. Peritoneal dissemination and liver metastasis occurred at rates of 31.0% and 4.8%, respectively. Histological examination revealed poorly differentiated adenocarcinoma and the depth of gastric wall invasion exceeded “se” in many cases. The incidence of histological lymph node metastasis was 73.1%. Cross-sections of the ends of excised tissue specimens disclosed a high incidence of tumor infiltration (20.9%). The overall prognosis of Borrmann type 4 gastric cancer was exceedingly poor. The 1, 3 and 5 year survival rates were 55.1%, 19.1% and 13.5%, respectively. In the comparison of curative resection and non-curative resection, significant differences were found in survival rates of the 1 and 3 years. One P1 patient who received total gastrecotmy with combined resection of metastatic lesion survived more than 5 years. From the above, extended radical operation is necessary to improve the prognosis in Borrmann type 4 gastric cancers.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 52 (3), 498-503, 1991
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390001205305138304
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- NII Article ID
- 130003431789
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed