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信州大学第一外科自1967年至1977年11年间手术治疗的456例胃癌中,切除310例,其中早期胃癌59例。早期胃癌中,粘膜癌29例31个病变,粘膜下癌30例34个病变。粘膜癌无浸润者多(17/29),粘膜下癌无浸润者仅占2/30,而轻度浸润者多(18/30),二组间有显著差别。粘膜癌仅1例淋巴结转移,粘膜下癌8例转移。脉管受侵亦是粘膜下癌明显地多于粘膜癌。多发性早期胃癌为8/59(13.6%),年龄在60岁以上者即有7例。合并其他脏器恶性肿瘤者5例(8.5%),同时性者为淋巴肉瘤、肝癌、乙状结肠癌,异时性者为肺癌及喉癌各1例。术后经过5年以上者31例。根治性切除28例中死亡3例,其原因为吻合口漏、肺癌、淋巴肉瘤各1例,无胃癌再发死亡者。3例姑息切除者均为切断端癌
Of the 456 cases of gastric cancer surgically treated in the First Surgery Department of Shinshu University from 1967 to 1977, 310 cases were resected, of which 59 cases were early gastric cancer. In early gastric cancer, there were 31 lesions in 29 cases of mucosal carcinoma and 34 lesions in 30 cases of submucosal carcinoma. No invasive mucosa cancer (17/29), no submucosal cancer infiltrates accounted for only 2/30, and mild infiltration (18/30), there was a significant difference between the two groups. Only one case of lymph node metastasis was found in mucosal cancer, and 8 cases were found in submucosal cancer. Vascular invasion is also significantly more submucosal cancer than mucosal cancer. Multiple early gastric cancers were 8/59 (13.6%), and 7 were older than 60 years of age. There were 5 cases (8.5%) of malignant tumors with other organs, and the same were lymphosarcoma, hepatocellular carcinoma, and sigmoid colon cancer, and 1 case of lung cancer and laryngeal cancer was allochronous. 31 cases after more than 5 years after surgery. Radical resection in 28 cases died in 3 cases, the reasons for anastomotic leakage, lung cancer, lymphosarcoma in 1 case, no recurrence of gastric cancer deaths. 3 cases of palliative resection were cut off the end of cancer