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KMID : 0377619640060050529
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Korean Jungang Medical Journal
1964 Volume.6 No. 5 p.529 ~ p.539
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Carcinoma of the Stomach Among Koreans
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Abstract
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The clinical data of one hundred and eight cases of carcinoma of the stomach, which had been diagnosed at the Department of Pathology, Yonsei University College of Medicine and- Severance Hospital during the last six years preceeding S-eptember 1960, and the pathological findings of 55 cases of them were studied.
The average age of the patients was 48.6 years, the youngest being 26years and the oldest 70 years. It occured most frequently in the fourth and fifth decades and, 57.4 per cent of the total cases belonged to these age groups in contrast to the peak age incidence in the fifth or sixth decades among Caucasians. The male incidence was predominent over the female and the ratio was 3.5 to one.
Some of the more frequent symptoms and their incidences were as follows; indigestion 70.3%, epigastric pain 69.4%, loss of weight 50.9%, tenderness 41.6%, palpable mass 40.7%, anorexia 37%, gastric discomfort 32.4%. The duration varied from 1(1)/(2) months 7 years to and was less than six months in 52.8 per cent of the total cases.
The laboratory findings disclosed that 46,9 per cent of the cases were anemic, achlorhydria was found in 58.6%, hypochlorhydria in 21,8%, occult blood in the gastric juice in 80, and that in the stool in 60%. The radiological diagnosis was proved to be correct in 72,9 per cent of the cases.
In the study of the causal factors, 10.9 per cent of the cases of carcinoma of the stomach were associated with chronic peptic ulcer and 12.7 per cent of the case of chronic peptic ulcereof the stomach were associated with carcinoma. One or more than one blood relatives of 5.6 per cent of the cases was found to havt carcinoma of the stomach one time or another.
On the pathological examination, the classification based on the gross characteristics of growth and their incidences were as follows; carcinoma of no special type 47.2%, penetrating carcinoma 23.9%, fungating carcinoma 18.2%, linitis p1astica 7.3%, and superficial spreading carcinoma 3.7%. Eighty nine per cent of the cases were loca ted in the pylorus, 11% in the body, 38.4% along the lesser curvature, 11.5% along the greater curvature, 19.9% on the anterior wall, 27.2% on the posterior wall, and no cases were found in the cardia and along the greater curvature of the body. The most frequent single site was the lesser curvature of the pylorus, at which 32.8 per cent of the cases were situated. The size of the tumor varied from 0.6cm, in greatest diameter to 14cm, with the average being 6.3cm. The most frequent size was 5-10cm, and 45.2 per cent of the cases belonged to this category. In 42 per cent of the cases the tumors were less than 5cm, in greatest diameter and in 12.8 per cent they were greater than 10cm. On the histological classification, 67.3 per cent of the cases were adenocarcinoma, 10.9 per cent simple carcinoma, and 21.8 per cent mutinous carcinoma. At operation, 82 per cent of the cases disclosed metastasis to the regional lymph nodes.
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