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Journals / Cerrahpaşa Tıp Dergisi / 2002 / Cilt: 33 - Sayı: 4

Results of curative resection for cases of gastric carcinoma in Tis/T1/T2 stages

Tis/T1/T2 evrelerindeki mide karsinomu olgularında küratif rezeksiyon sonuçları

Yılmaz ERSAN
Gülen DOĞUSOY
Ömer UYSAL
Süphan ERTÜRK
Yusuf ÇİÇEK
Pages
209–213
Publication Date
2022-11-04
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions.- In patients with gastric carcinoma with invasion confined to the stomach wall, most important prognostic factor was lymph node invasion.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background.- Despite recent improvements in the diagnostic accuracy and techniques for early gastric carcinoma, some patients die of a recurrence, even after resection of an early gastric cancer, (EGC).
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Key Findings & Data:It has been suggested that patients with T2.
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Conclusion & Impact:Conclusions.- In patients with gastric carcinoma with invasion confined to the stomach wall, most important prognostic factor was lymph node invasion.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background.- Despite recent improvements in the diagnostic accuracy and techniques for early gastric carcinoma, some patients die of a recurrence, even after resection of an early gastric cancer, (EGC). It has been suggested that patients with T2. No carcinoma of the stomach has a comparable survival rate to patients with T1 carcinoma of the stomach. Study design.- Clinicopathologic features and survival rates of 50 patients with Tis/T1/T2 adenocarcinoma of stomach treated between 1989 to 1993 were reviewed. Prognostic significance of the clinicopathologic features in gastric carcinoma with invasion confined to the stomach wall was studied using both a univariate and a multivariate analysis. Results.- Excluding deaths from causes other than recurrence, five-year survival rate for patients with Tis/T1 carcinoma of stomach was 100 percent. Five-year survival rate for patients with T2 carcinoma of the stomach was 68.8 percent. Conclusions.- In patients with gastric carcinoma with invasion confined to the stomach wall, most important prognostic factor was lymph node invasion.

Özet

1989-1993 yılları arasında, İstanbul Üniver¬sitesi, Cerrahpaşa Tıp Fakültesi, Genel Cerrahi Anabilim Dalında, primer mide adenokarsino-mu sebebiyle rezeksiyon uygulanan 278 hasta¬dan 50'sinde serozal invazyon bulunmadığını yani TjS/Tı ve T2 evrelerinde bulundukları tes¬pit edildi. Bu retrospektif araştırmada, hatsala-rın en erken 5,5 sene, en geç 8 senelik uzun ev-reli takip sonuçları öğrenildi; ancak 2 hastaya ulaşılamadı. En az, geniş lokal eksizyon (3 olguda), ço¬ğunlukla Distal Gastrektomi (28 olguda) uygu¬lanan hastalarda T-JTı olgularında 5 yıllık sür¬vi %100 iken , T2 tümörlü olgularda 5 yıllık sürvi %68,8'dir. Nüks sebebiyle 5 yıl yaşaya¬mayan T2 evresindeki tümörlü olgularda, lenf nodülü metastazı %91,6 iken, %8,3'de lenf no¬dülü metastazı bulunmadığ tespit edilmiştir. Sonuç olarak serozal invazyon yapmamış, pri¬mer mide karsinomu olgularında, küratif rezek¬siyon sonrası sürviyi etkileyen başlıca faktörün metastatik lenf nodüllerinin mevcudiyeti oldu¬ğu anlaşılmıştır.

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Cite This Article

ERSAN, Y., DOĞUSOY, G., UYSAL, Ö., ERTÜRK, S., ÇİÇEK, Y. (2022). Results of curative resection for cases of gastric carcinoma in Tis/T1/T2 stages. Cerrahpaşa Tıp Dergisi, Cilt: 33 - Sayı: 4, 209–213. https://ajindex.com/articles/649318

References (14)

  1. Farley D.R and Donohue J.H: Early Gastric Cancer Surg.ClinN.Am.l992:72(2):401-421 2. Friesen G.Docherty MB, Re Mine WH: Superficial Carcinoma of the Stomach Surgery 1962: 51:300-12 3. Boring CC,Squires TS,Tong T: Cancer statistics, 1991 CA 1991
  2. Lauren P: The two histological-main types of gastric carcinoma
  3. Diffuse and so-called intestinal-type carcinomas. An attempt at histo-clinical classification. ActaPathol Microbiol Scand, 1965
  4. 49 5. Hamilton S.R.Aaltonenl: A Pathology and Genetics of Tumours of the digestive system world health organization. Classification of tumors Lyon. IARCP Press, 2000,38 ' » 6. Harmer MH: UICC. TNM Classification of Malignant Tumors 3 rd ed Genera: UICC, 1978:63-7 7. Cox D.R: Regression models and life tables J.R. Stat Soc.Series B 1972
  5. 220 8. Japanese Research Society for Gastric Cancer: The general rules for the gastric cancer study in surgery and pathology Clinical classification Jpn J.Surg. 1981
  6. Sano T.Sasako M, Rinoshita T. and Maruyama R: Recurrence of early gastric cancer: Follow up of 1475 patient and review of the Japanese literature. Cancer
  7. 3178 10. Ichiyoshi Y. Toda T. Minomisono Y.Nogasaki S: Recurrence in early gastric cancer. Surgery, 1990
  8. 107(5): 489-495 11. Abe S. Yoshimura H. Nagaoka S.Monden N: Long-term results of operation for carcinoma of the stomach in T1/T2 stages, Hm. Coll of Surgeans: 1995. 181(5):389-395 12. Namieno T, Koito K. Higashi T. Shimamura T. Yamashito K. Kondo Y: Tumor recurrence following resection for early gastric carcinoma and its implications for a policy of limited resection World J Surgery 1998
  9. 22(8): 869-73 13. Maehera Y. Okuyama T. Oshiro T. Baba H: Early carcinoma of the stomach Surgery, 1993: (177): 593-593 14. Whitting J.L. Fielding J.W: Radical Surgery for Early Gastric Cancer. Eur J Surg Oncol 1998
  10. 24(4): 263-6 15. Douglass H.O: Local Resection of Early Gastric Carcinoma Cancer, 1996
  11. 77(4): 597-8 16. Ichikura T. Vefuji K. Tomimatsu S.Okusa Y: Surgical Strategy for Patients with Gastric Carcinoma with Submucosal Invasion Cancer, 1995
  12. 76(6): 935-40 17. Yamao T. Shirao K.Ono H.Kondo H. Saito D. Yamaguchi H: Risk Factors for Lymph Node Metastasis from Intramucosal Gastric Carcinoma Cancer 1996
  13. 77(4): 602-6 18. Heesakkers J.P.F.A Gouma D.J. Thunnissen F.BJM et al:. Non-radical Therapy for Early Gastric Cancer. Br.J Surg 1994
  14. 3 19. Maehara Y. Oshiro T. Endo K.baba H. Oda S. Ichiyoshi Y. Kohnoe S. Sugimachi K: Cl