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胃의 惡性腫瘍

Malignant Tumors of Stomach

대한외과학회지 1967년 9권 12호 p.751 ~ 759
李用基, 崔宜奎,
소속 상세정보
李用基 (  ) - 全州예수病院 一般外科
崔宜奎 (  ) - 全州예수病院 一般外科

Abstract


This is to report tour experience with cases of malignant tumors of stomach seen at Presbyterian Medical Center of Chonju´ during the period of years from Jan, 1962 to Dec. 1966.
1) The stomach cancer comprises 29.5% of all malignant tumors diagnosed at Presbyterian
at the same period (Table Ⅰ)
2) This disease was most common at 5 th decade of life 240 cases (37.3%) (Table Ⅲ)
3) Male predominate the female by 3.5:1
4) The common Complaints were indigastion 97.5% epigastric burning pain 99.5%
post prandial fulness 94.5% anorexia 79.7%
in order of frequency. (Table 7-A)
5) The common physical finding were palpable mass 28.1%
epigartic tenderness 22.0%
Anemia; 12% (Table 7-B)
6) The most patient had symptoms less than Ⅰ year. (73.3%) (Table 5)
7) Preoperative diagnosis at stomach cancer was made before surgery is 85.5% of all cases.
8) All cases but had carcinoma of stomach and remaining patient had lymphosarcoma (Table XII-B)
9) Eighty five percent of tumors were located in the antrum and the restin the body, fundus and cardia in order, (Table ⅸ)
10) The procedure perfomed were as follow.
1. Curative resection 102 eases 21.8%
2. Palliative gartrectomy 194 cases 38.1%
3. Gartrojejunostomy 89 cases 18.6%
4. Gastrostomy 21 cases 5.1%
Jejunojejunostomy 1 0.1%
Feeding ileostomy 1 0.1%
Biopsy only 1 0.1%
Biopsy of distant matastasis (neck and axillary etc)
11. Of the cases who has curative resection 34 cases
(33.3% ) was free of metastasis without perigastric nodes.
12. Of she 34 cases who was free of metastasis wthout perigstric nodes. 15 cases (44.4%) is now living without disease for 6 month to 4 years
13. Of who had metastasis to regional nodes (19.0%) is now living without disease for 6 month to over 4 years.

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