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胃癌的治疗迄今仍以手术为主,但临床上切端癌时有发生,而对其防治国内尚无有关专题讨论,为探讨切端癌的治疗,作者收集了院内外科手术的经病理证实的切端癌18例,报告如下。 临床资料 男12例,女6例,年龄30～64岁。胃窦癌12例,胃体癌4例,胃底癌2例。行远端胃大部切除14例,近端胃大部切除1例,全胃切除3例。TNM分期:Ⅱ期2例,Ⅲ期10例,Ⅳ期6例。侵犯肌层2例,浆膜16例。癌残留于十二指肠断端10例,胃近端6例,食管下端2例。
The treatment of gastric cancer has so far been dominated by surgery, but clinically cut-end cancer has occurred from time to time, and there is no relevant topical discussion about its prevention and treatment. In order to discuss the treatment of cut-end cancer, the authors collected the pathologically confirmed cut-tip cancer of the hospital surgery. In 18 cases, the report is as follows. Clinical data Male 12 cases, female 6 cases, aged 30 to 64 years old. There were 12 cases of gastric cancer, 4 cases of gastric cancer, and 2 cases of gastric fundus. The patients underwent distal gastrectomy in 14 cases, proximal gastrectomy in 1 case, and total gastrectomy in 3 cases. TNM stage: 2 cases of stage II, 10 cases of stage III, 6 cases of stage IV. There were 2 cases of muscle invasion and 16 cases of serosa. Cancer remained in 10 cases of duodenal stump, 6 cases of proximal stomach, and 2 cases of lower esophagus.