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Title   위암병소의 대망 및 소망 침윤의 임상병리학적 고찰 ( Clinicopatological Study on Serosal or Omental Invasion of gastric Cancer )
Publicationinfo   1992 Jan; 024(06): 848-854.
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Abstract   The prognosis of carcinoma of the stomach depends on the extent of penetration of the wall by the tumor and involvement of adlacent organ. Actually serosal invasion is an im- portant prognostic factor of survival of the gastric cancer surgery. However covering gastric ligaments or omenta obscures not only the classification the serosal involvements but also the concepts of cancer spread. We examined distribution of stage, lymph node metastaeis, presence of intraperitoneal free cancer cells, gross morphology of cancer, patholoic type, size of tumor, and survival rate of T3NOMO cases using the 179 omental invasion cases and 26 serosal invasion only cases collected among the 331 gastric cancer resection during 4 years(1987-1990) in NMC- In pateints with omental invasion, stage IV was 44.7%, n2 lymph node metastasis was 31.8 %, presence of intraperitoneal free cancer cells was 16.8%, and 8.1-12cm sized tumor was 40.8%. In patients with serosal invasion only, stage II was 46.2%, n0 lymph node metastasis was 46.2%, presence of intraperitoneal free cancer cells was 3.9%, and 4.1-8.0cm sized tumor was 50.0%. Survival study of T3NOMO cases was 77.9% in patients with omental invasion, whereas the survival study was 88.9% in patients with serosal invasion only, but there was no statistical significance.
저 자   조용관(Yong Kwan Cho),김경재(Kyeong Jae Kim),이봉화(Bong Hwa Lee),우제홍(Ze Hong Woo),이찬영(Chan Young Lee),손진희(Jin Hee Sohn),서정일(Jung Il Suh)