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KMID : 0371319700120030001
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Journal of the Korean Surgical Society
1970 Volume.12 No. 3 p.1 ~ p.9
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Clinical Review of 402 Cases of Stomach Cancer
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洪善熹/Hong, Sun Hee
鄭雲杓/鄭澈容/朴利球/徐輔祥/趙世煥/尹健鎬/Chung, Woon Pyo/Chung, Chul Yong/Park, Rhee Koo/Sug, Bo Sang/Cho, Se Hwan/Youn, Kun Ho
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Abstract
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From Jan. 1960 to Aug. 1968, 402 cases of gastric cancer underwent some operation at the Dept. of Surgery, Kyung Pook National University Hospital, and a clinical review was made.
The results are as follows;
1) The peak age incidence was 5th decade in both sexes, 50 years and 2 months in average, ranging from 21 to 75 years old of age.
2) Male predominated over females by the ratio of 2.4 : 1.
3) The most frequent complaints were epigastric pain and discomfort 93.4%, epigastric fullness 57.9%, indigestion 56.2%, palpable mass 62.9%, loss of weight 56.9% and vomiting 46.7%.
4) Most of the patients (50.3%) had had symptoms less than 6 months.
5) Past histories were analyzed as follows; gastrointestinal disorder 33.8%, peptic ulcer 4.9%, and no particular 4.5%. In 17.4% no records were made regarding the past history.
6) Hemoglobin level was checked in 344 cases and 71.9% of them were anemic(below 11.gm.%)
7) Gastric juice analysis was done on 140 cases, 72.9% of them fell in the range of either achlorhydria or hypochlorhydria.
8) Upper gastrointestinal series was done on 252 cases and positive diagnosis (filling defect, etc.) was made on 53.9%, suspected diagnosis in 41.2% and false negative in 5 4%, respectively.
9) 86.4% of preoperative diagnosis proved correct and remaining 13.6% were wrong, which were either misdiagnosed or the coexistence of stomach cancer was overlooked.
10) The operability was 88.0%, the resectability was 55.0% and the radical surgery was done in 50.8% of total cases.
11) The locations of the tumor in the order of frequency were as follows; 31.7% at the antrum, 28.5% at the pylorus, 24.3% at the lesser curvature and 6.2% at the greater curvature.
12) The most frequent site of metastases was the regional nodes (81.4%) and the rest were the omentum (39.1%), mesocolon (22.6%), pancreas (13.7%), mesentery (10.7%) and biliary tract (4.9%).
13) Most of the patients (86.3%) stayed in the hospital less than 3 weeks after surgery.
14) Postoperative complication developed in 13.4% and most frequent ones were wound infection (6.2%), dumping syndrome (1.9%), wound disruption (1.9%) and stomal bleeding (1.2%), Hospital death was 5.2%.
15) Histopathological classification was as follows;
adenocarcinoma 69.8%, mucinous type 10.3% anaplastic type 8.2%, scirrhous type 7.0%, papillary type 2.5% and medullary type 2.1% in the order of frequency.
16) Long term follow up of 194 cases of the total are being carried out and the analysis will be reported in near future.
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KEYWORD
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