摘要
目的 通过分析Ｔ１ 期和Ｔ２ 期胃癌的疗效，评价外科治疗对早期胃癌的临床意义。方法 对１３２ 例接受根治性手术的Ｔ１ 、Ｔ２ 期胃癌患者的预后进行回顾性分析。结果 Ｔ１ 和Ｔ２ 期患者的肿瘤平均大小、术中淋巴结转移率、术后复发率以及术后生存率差异均有显著性，进一步分析发现，术中已有淋巴结转移的Ｔ１ 期患者的术后生存率，明显低于术中无淋巴结转移的同期患者；而术中无转移的Ｔ２ 期患者的术后生存率，与Ｔ１ 期患者的生存率相似。结论 Ｔ１ 期（ 早期）胃癌，如已有淋巴结转移，亦应施行Ｄ２ 手术；而属进展期的Ｔ２ Ｎ０ 期胃癌，由于手术治疗预后好。
Objective To evaluate the clinical significance of early gastric cancer by means of an analysis of the results of surgical treatment of gastric cancer in stage T 1/T 2.Methods A retrospective review and survival analysis of 132 patients with stage T 1/T 2 stomach cancer treated from 1983 through 1993 was performed.Results The average tumor size, lymph node involvement, postoperative recurrence and survival rate were significantly different between gastric cancer in stage T 1 and T 2. It was true of both groups of patients that the survival rate of patients with and without lymph node involvement was significantly different. However, the survival rate of patients in stage T 2 but without lymph node involvement was not significantly different as compared to that of patients in stage T 1.Conclusion For stage T 1 stomach cancer, because of possible lymph node involvemnt, local mucosal excision of tumor is not recommended. For stage T 2 stomach cancer without lymph node metastasis, it can be regarded as cancer still in its early stage when postoperative adjunct therapy is to be given.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1999年第5期379-382,共4页
Chinese Journal of Oncology
关键词
胃肿瘤
外科手术
T1期
T2期
Stomach neoplasms/surgery Gastrectomy Prognosis
