随着积极的扩大手术和早期癌诊断率的提高,日本胃癌根治术后的5年生存率已达到74％,然而术后早划发生血行转移者也不少见。虽然手术中可以通过浆膜浸润、腹腔冲洗液细胞学检查以及淋巴结转移程度等方面的判断,预测腹膜播种与淋巴结复发,但70％的再发死亡病例为肝转移,而且前对肝转移尚无有效的预测手段。作者试用了针对弹性组织的新的染色法,即维多利亚蓝加HE染色(VBHE)以及针对血管内皮的单克隆抗体第8因子相关 With the aggressive expansion of surgical and early cancer diagnosis rates, the 5-year survival rate after radical gastrectomy in Japan has reached 74%. However, it is not uncommon for patients to have early blood transfer after surgery. Although peritoneal sowing and lymph node recurrence can be predicted through surgical measures such as serosal infiltration, intraperitoneal lavage fluid cytology, and lymph node metastasis, 70% of recurrent deaths are liver metastases, and there is no anterior liver metastasis. Effective forecasting methods. The authors tested a new staining method for elastic tissue, namely Victorian blue plus HE staining (VBHE) and monoclonal antibody 8 targeting vascular endothelial cells.