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題 名 | Early Gastric Cancer-- A Clinicopathological Study=早期胃癌--臨床及病理之研究 |
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作 者 | 林俊彥; 簡榮南; 林博彥; 陳邦基; 吳正雄; | 書刊名 | 長庚醫學 |
卷 期 | 18:1 1995.03[民84.03] |
頁 次 | 頁1-7 |
分類號 | 415.527 |
關鍵詞 | 早期胃癌; 微小早期胃癌; 腸型化生; Early gastric cancer; Minute early gastric cancer; Intestinal metaplasia; |
語 文 | 英文(English) |
中文摘要 | 從1983年到1991年間,長庚紀念醫院共有981位胃癌的病例接受手術治療。其中92例為早期胃癌,佔9.4%;平均年齡為54.5歲。最常見的症狀為上腹痛及上腹脹,79.3%。大部分的病灶,皆位於骨的下三分之一處,佔64.0%。以型態來分,第IIC型為最常見者(31.5%)。有四十例其病灶局限在黏膜層,五十二例侵犯到下黏膜層。五位病例有淋巴腺的侵犯,佔5.4%。腫瘤的大小與侵犯的深度並無統計學上的相關。三位病例死於腫瘤復發,分別於手術後的第十一,第十三,第三十六個月死亡。以Kaplan-Meier的統計方法計算,五年 活率為96.4%;侷限黏膜者為96.6%,侵犯下黏膜者為95.6%,兩者無統計學上的差異。影響存活率的危險因素為淋巴腺的侵犯,而與腫瘤大小及侵犯深度無關,然而淋巴腺的侵犯的深度有關,而與腫瘤大小無關。有四位病例屬微小早期胃癌,平均年齡為六十一歲;瀰漫型早期胃癌佔百分之五十,平均年齡50.4歲。前者的年齡較大,有統計學上的意義。腸型早期胃癌比瀰漫型早期骨癌較易有下黏膜層之侵犯(70%比35%,p=0.026);另外,雖無統計學上的意義,腸型早期胃癌似乎較具有淋巴節轉移的傾向。 |
英文摘要 | From 1983 to 1991, 981 cases with gastric cancer underwent gastric resection in Chang Gung Memorical Hospital. Ninety-two cases (9.4%) had early gastric cancer with a mean age of 54.5 years. The most commonly present symptoms were epsigstralgia and abdominal fullness (79.3%). Most lesions were located in the lower third of stomach (64.0%). Type IIc was the most common macroscopic type (31.5%). The tumor was confined to the mucosa layer in 40 (43.5%) cases; submucosa invasion was noted in the remaining 52 (56.5%) patients. Lymph node involvement was found in 5 (5.4%) cases. No statistical correlation between the depth of tumor invasion and the size of the tumor was noticed. Three patients died of tumor recurrence on the 11th, 13th and 36th months after operation. The Kaplan-Meier estimate for five year survival was 96.4% in these 92 cases, 96.6% in mucosa cancer and 95.6% in submucosa cancer. The risk factor for mortality was lymph node metastasis which had a positive correlation with the depth of tumor invasion. There were four (4.3%) cases of minute early gastric cancer. However, there was neither mortality nor lymph node metastasis in these four cases. Retrospectively, the review of original histological sides in 40 cases, the intestinal metaplasia, had more frequency of sumbmucosa invasion (70% vs 35%, p=0.026), and were older in age (61 vs 50.4 years old) than the diffuse type. Although statistically insignificant, the intestinal type had the tendency to involve the lymph node. |
本系統中英文摘要資訊取自各篇刊載內容。