摘要
目的探讨残胃癌的定义及临床病理特征与预后。方法回顾性分析2000年1月至2005年12月期间,对52例经手术的残胃癌病例资料及随访结果。结果52例中平均年龄59岁。胃原发疾病为良性(RGCB)者16例,恶性(RGCC)者36例。根据第一次手术时胃疾病的良恶性,把残胃癌(RGC)分为RGCB或RGCC。有42例患者接受了根治性手术(残胃全切除术33例,联合脏器切除9例),根治性切除率为80.77%;姑息性手术12例。3年总生存率36.5%,其中RGCB的3年存活率为50.0%,RGCC的3年存活率为30.6%,两者之间无统计学差异(P>0.05)。结论RGCB或RGCC在临床病例特征及3年存活率无显著差异。
Objective To investigate the definition,clinicopathologic features and prognosis of remnant gastric cancer（RGC）.Methods Fifty-two patients with remnant gastric cancer who had undergone surgical treatment from 2000 to 2005 at our hospital were analyzed retrospectively.Results The median age of these patients at presentation was 59 years.According to the pathologic diagnosis of their primary tumors,RGC was defined as RGCB and RGCC.Of the 52 patients,16 showed development of RGC from gastric benign disease（RGCB）,36 had gastric cancer before RGC（RGCC）.Forty-two patients underwent radical surgery or resection of either remnant stomach（33/42） or abdominal multi-organs（9/42）,while 12 patients underwent palliative surgery.The rate of radical resection was 80.77%.The overall 3-year survival rate was 36.5% for the 52 patients.Separately,the 3-year survival rate was 50.0% and 30.6%in the RGCB group and the RGCC group respectively（P0.05）.Conclusions There was no significant difference between RGCB and RGCC with regard to clinicopathologic features and the 3-year survival rate.
出处
《中华普外科手术学杂志（电子版）》
2010年第2期23-25,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胃肿瘤
病理学
临床
预后
Stomach neoplasms Pathology clinical Prognosis
