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KMID : 0381219930250010078
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Journal of RIMSK
1993 Volume.25 No. 1 p.78 ~ p.81
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Detection of Intraperitoneal Free Cancer Cell by Peritoneal Washing Cytologic Study During Surgery of Gastric Cancer
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최영철
박성준/임현묵/박성일/장선택
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Abstract
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Despite considerable recent progress in ter treatment of gastric cancer, postoperative recurrence is still frequent at present. As one type of postoperative recurrence, peritoneal dissemination is the most common, but no effective method of
treatment is
now available.
Intraoperative peritoneal washing cytology was taken for affirming the presence of cancer cell in the pouch of Douglas.
Patients with serosal invasion had a propensity for peritoneal dissemination of cancer cells; the percentage of cases with intraperitoneal free cancer cells increased with the extent of serosal invasion It is worth noting that when cancer
infiltration
proceeded to the deeper layers and was accompanied by nodal metastasis, cancerous invasion of the perinodal fatty tissue was frequently evident. Therefore, unfavourable prognosis after curative resection in gastric cancer patients with serosal
invasion
may be largely dependent on whether or not the cancer has invaded the peritoneal cavity and the perinodal fatty tissue.
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KEYWORD
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