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KMID : 0378019810240090092
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New Medical Journal
1981 Volume.24 No. 9 p.92 ~ p.98
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A Clinical and Pathological Study on the Gastric Carcinomas among Koreans
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Abstract
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Being sciences progressed rapidly in recent years, most infectious diseases have been solved by the development of various antibiotics, and spans of our lives have been remarkably lengthened. But the occurrence of neoplasm still shows an increasing tendency with aging, and the death rate by it has been gradually elevated.
Regarding the etiology of neoplasm and its pathogenesis, there are many theories and different opinions. Accordingly, neoplasm has generally been treated conservatively or symptomatically beside of some surgical operations based on early diagnosis. For this reason, neoplasm, particularly cancer, has long been a target subject to clarify its causes and changes as well as to investigate the treatment.
The cancer of the stomach in epithelial origin, gastric carcinomas are classified grossly into three types: It has been also known that they can be divided into two types by their biological behavior: expansive type and infiltrative type. Generally the gastric
carcinomas are common in aged males, and their occurences are somewhat closely related to diets, infections, genetic factors and etc.
The gastric carcinomas are not only common but also showing an increasing tendency
in korea. It is found that only a few studies on the gastric carcinomas among Koreans
were carried out clinico-pathologically, epidemiologically and genetically.
In this study, 230 cases of inpatients admitted to Hanyang University Hospital diagnosed
as carcinoma of the stomach were observed clinically, clinico-pathologically and genetically. The results are as follows:
1. The gastric carcinomas were classified anatomico-pathologically into ulceretive type (34.2%), polypoid type (13.9%) infiltrative type (6.3%) and unknown type (45.6%) due to the lack of follow up studies.
They also were divided into expanding type (13.9%), infiltrative type (40.5%) and unknown type (45.6%) by their behavior.
2. The frequency of the gastric carcinomas was significantly high in patients with blood
group A patients and low in patients with blood group 0 patients.
3. Gastric carcinomas in males were more common in patients with blood group A, AB and less common in patients with blood group 0.
4. Gastric carcinomas in females were significantly common in blood group A and rare in blood group 0 and B.
5. The rate of occurrence of the gastric carcinomas by age was high in the age of 40, 50 and 60 decades in order.
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KEYWORD
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