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胃癌手术后有50%以上出现复发转移,而且再手术相当困难,没有办法治疗,几乎没有对复发胃癌放射治疗的报告。作者曾对不能手术的胃癌给予放疗,成绩虽不满意,但并非无效。在此基础上对复发胃癌予放疗。在1968年7月~1977年4月共治疗复发胃癌30例。患者全部作过胃切除术,男23例,女7例,复发时年龄31~76岁,平均56.5岁。根据组织学检查证明根治性切除4例,非根治性切除14例,不明12例。 30例共有37处复发转移:局部复发25(食管10,残胃9,腹壁4,结肠2),淋巴结转移6(锁骨上4,上纵膈2),脏器转移6(肝3,肺、骨、腹膜各1)。局部复发20例;局部复发+淋巴结转移2例;局部复发+脏器转移3例;淋巴结转移2例;脏器转移1
More than 50% of gastric cancer patients have recurrence and metastasis after surgery, and reoperation is very difficult. There is no treatment, and there is almost no report of radiation therapy for recurrent gastric cancer. The author once gave radiotherapy to inoperable stomach cancer. Although the result was not satisfactory, it was not invalid. On this basis, radiotherapy for recurrent gastric cancer. From July 1968 to April 1977, 30 cases of recurrent gastric cancer were treated. All patients underwent gastrectomy. There were 23 males and 7 females. The age ranged from 31 to 76 years old, with an average age of 56.5 years. According to histological examination, it was proved that there were 4 cases of radical resection, 14 cases of non-radical resection, and 12 cases of unknown. A total of 37 cases had recurrence and metastasis in 30 cases: local recurrence 25 (oesophageal 10, residual stomach 9, abdominal wall 4, colon 2), lymph node metastasis 6 (abdominal supraclavicular 4, upper mediastinum 2), organ metastasis 6 (liver 3, lung, Bone, peritoneum each 1). 20 cases of local recurrence; 2 cases of local recurrence and lymph node metastasis; 3 cases of local recurrence and visceral metastasis; 2 cases of lymph node metastasis;