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Das Ulcuscarcinom des Magens

Ulcerocancer of the stomach

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Summary

46 patients were operated upon for an ulcerocancer of the stomach. In detail the differential diagnosis and the possibilities for preoperatively establishing an exact diagnosis are described. The good results after resection of the tumor (5-year-survival rates are for early cancer 100% and for the other tumors 67.7%) demonstrate, that usually for the ulcerocancer a total gastrectomy is unnecessary. Depending on the localisation of the tumor a proximal or distal resection of the stomach is sufficient. The results indicate that tumors, in which the ulcer floor shows a partial infiltration of carcinomatous cells, are not to be called as ulcerocancer. It is suggested to speak in these cases of “primary” carcinoma of the stomach.

Zusammenfassung

Es wird über ein Kollektiv von 46 Patienten berichtet, die unter der Diagnose eines Ulcuscarcinoms des Magens operiert wurden. Ausführlich wird auf die Differntialdiagnose und die Möglichkeiten der präoperativen Diagnosesicherung eingegangen. Die guten Ergebnisse nach Resektion (5 Jahres-Heilung beim Frühcarcinom 100% und bei den übrigen Tumoren 67,7%) zeigen, daß - von Ausnahmen abgesehen - eine Gastrektomie beim Ulcuscarcinom nicht erforderlich ist. Je nach Tumorlokalisation ist eine proximale oder distale Magenresektion als ausreichend anzusehen. Die Untersuchung zeigt, daß solche Tumoren, bei denen der Geschwürsgrund partiell von Tumorkomplexen durchsetzt ist, nicht als Ulcuscârcinom, sondern auf Grund ihrer anderen biologischen Wertigkeit als genuine Carcinome zu bezeichnen sind. In diesen Fällen sind die prognostischen Aussichten gleichzusetzen mit den Erfahrungen beim primären Magenkrebs.

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Authors and Affiliations

  1. Chirurgische Klinik A der Universität Düsseldorf, Moorenstr. 5, D-4000, Düsseldorf, Bundesrepublik Deutschland

    Dieter Moschinski & Gisela Gebhardt

  2. Krankenhaus St. Josef, Bergstrasse, Wuppertal-1, D-5600, Bundesrepublik Deutschland

    Christoph Gebhardt & Ernst Hoffmann

Authors
  1. Christoph Gebhardt
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  2. Dieter Moschinski
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  3. Ernst Hoffmann
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  4. Gisela Gebhardt
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Gebhardt, C., Moschinski, D., Hoffmann, E. et al. Das Ulcuscarcinom des Magens. Langenbecks Arch Chiv 343, 113–122 (1977). https://doi.org/10.1007/BF01262003

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  • DOI: https://doi.org/10.1007/BF01262003

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