69 cases of early recurred stomach cancer within 2 years from the point of initial curative gastric resection among the 211 cases of stage Ⅲstomach cancer have been analysed with regard to factors influencing early recurrence, which were
operated
at
the Department of General Surgery, Kyung Hee Medical Center from January 1988 to April 1991.
@ES The results were as follows;
@EN 1) Curative gastric resection was performed in 211 cases and 69 cases(32.7%) of them were recurred within 2 years.
2) In 69 cases, the most frequent age group was under 30 years of age(50%), but that was not statistically significant, and male to female ratio was 5.9:1.
3) The most common site of recurrence was peritoneum(40.5%), and the next was distant metastasis such as bone and lung(23.1%), liver(14.5%), lymph nodes(8.6%), peritoneum and liver(7.2%), remnant stomach(5.8%). In order of frequency.
4) The larger size of tumor, the higher early recurrence rate, but that was not statistically significant(p>0.05).
5) The early recurrence rate was higher in antral lesion(p<0.05).
6) The early recurrence rate was higher in Borrmann type Ⅲand Ⅳ(p<0.05).
7) When the distance of proximal & distal resection margin were shorter than 5 cm or 2 cm, the early recurrence rate was higher(p<0.005).
8) The early recurrence rate was higher in T3 and T4 lesion for the depth of invasion(p<0.005).
9) The larger number of involved lymph nodes, the higher early recurrence rate(p<0.005), and that of R2 operation only was higher than R2+a operation(p<0.05).
10) the early recurrence rate was higher in well differentiated tubular adenocarcinoma, but was not significant(p>0.05).
11) the early recurrence rate was higher in under 3 cycles of postoperative adjuvant chemotherapy(FAM) than in over 3 cycles( p<0.05).
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