回顾战后40年来,胃癌的诊断走过了艰苦的路程。过去由于没有胃癌的登记制度,因而,不知道胃癌的准确存活率(五年生存率)。目前的存活率仅有5%左右。因此胃癌不得不作为不治之症。事实上,胃癌作为不治之症,不消说是使包括医生在内的所有人都感到害怕,当然这方面的研究、种种的工作在继续进行着。那时在我的记忆中留下的深刻印象是,Bockus博士倡导的良—恶性溃疡的鉴别诊断是“治疗的诊断”,就是说,恶性溃疡用内科疗法不能治愈,而良性溃疡则能治愈,一旦发现溃疡,就应进行严格的内科治疗(住院、安静、饮食、药物),疗效不好的就进行外科切除。其结果证实20%是恶性的,但尽管如 Reviewing the 40 years after the war, the diagnosis of gastric cancer has come a long way. In the past, because there was no registration system for gastric cancer, the exact survival rate (six-year survival rate) of gastric cancer was unknown. The current survival rate is only about 5%. Therefore, gastric cancer has to be treated as an incurable disease. In fact, as an incurable disease of stomach cancer, it is worth noting that all people, including doctors, are afraid. Of course, research and various work in this area are continuing. The profound impression left in my memory at that time was that the differential diagnosis of benign-malignant ulcer advocated by Dr. Bockus was “diagnosis of treatment”. That is to say, malignant ulcers cannot be cured with medical therapy, while benign ulcers can be cured. Once an ulcer is found, strict medical treatment (hospitalization, quietness, diet, and medication) should be performed. If the curative effect is not good, surgical resection should be performed. The results confirm that 20% are malignant, but despite