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胃良性病灶施行胃部分切除后5年以上发生胃癌者称之为胃残留部癌(Gastric Stump Carcinoma, GSC),同样在胃癌手术后发生的称之为残胃癌(Remnant Carcinoma,RC),早期诊断均不易。作者在1983～1994年共收治了48例残留胃组织癌,39例得以手术切除(81.3％),其中12例为GSC,27例为RC。在此39例中,28例行全胃切除,8例行胃次全切除,3例行楔形切除;10例属姑息性,因已有腹膜弥散和主动脉旁淋巴转移。 1.发生率 在1518例胃部分切除术中,RC的发生率为2.1％。 2.临床病理分析 第一次手术和胃残留部癌手术
In gastric benign lesions, gastric cancer after 5 years or more after partial gastrectomy is called Gastric Stump Carcinoma (GSC), also known as Remnant Carcinoma (RC) after gastric cancer surgery. It is not easy. The authors treated a total of 48 cases of residual gastric cancer from 1983 to 1994, and 39 cases were surgically removed (81.3%), of which 12 cases were GSC and 27 cases were RC. Of the 39 patients, 28 underwent total gastrectomy, 8 underwent gastric subtotal resection, 3 underwent wedge resection, and 10 were palliative due to peritoneal diffusion and paraaortic lymph node metastasis. 1. Incidence In 1518 cases of partial gastrectomy, the incidence of RC was 2.1%. 2. Clinicopathological analysis First surgery and cancer of the stomach residual area