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BorrmannIV型(以下简称BIV型)胃癌即硬化性或皮革样胃癌,是典型的未分化细胞癌,呈浸润性生长,易累及邻近脏器,确诊时多为晚期,切除后五年生存率仅10～20%。日本福冈九州大学医院第二外科部对1965年至1985年期间治疗的胃癌病例进行预后因素回顾性分析并探讨BIV型术后生存率较低的原因。方法与结果:收集1113例胃癌切除连续病例,均获得随访,其病理诊断和分类按日本外科学和病理学胃癌检测常规分成两组,一组为BIV型胃癌,194例(17.4%),为皮革样晚期胃癌,肿瘤扁平无火山口样隆起,已见肉眼广泛播散。另一组为其他各型胃癌919例。对两组病例在年龄、性别、肿瘤大小、部位、组织学分类、浆膜浸润、生长方式、淋巴结转移、腹
Borrmann type IV (hereinafter abbreviated as type BIV) gastric cancer, ie, sclerosing or leather-like gastric cancer, is a typical undifferentiated cell carcinoma with infiltrative growth, involving adjacent organs, and is often advanced at the time of diagnosis. The 5-year survival rate after resection is only 10%. ~20%. The second surgery department of the Kyushu University Hospital in Fukuoka, Japan, performed a retrospective analysis of the prognostic factors in patients with gastric cancer treated from 1965 to 1985 and explored the reasons for the lower survival rate after BIV. Methods and Results: Collected 1113 consecutive cases of gastric cancer resection and were followed up. Their pathological diagnosis and classification were divided into two groups according to the Japanese routine examination of surgical and pathological gastric cancer. One group was BIV gastric cancer, 194 cases (17.4%). Leather-like advanced gastric cancer, tumor flat no crater-like uplift, has seen a wide spread to the naked eye. The other group was 919 cases of other types of gastric cancer. Age, sex, size, location, histological classification, serosal infiltration, growth pattern, lymph node metastasis, abdominal mass in both groups