Abstract
The result of follow-up study and the localization of gastric carcinoma subjected to the operation at the Second Department of Surgery, Faculty of Medicine, Kyushu University during 7 year period from 1963 to 1969 form the basis of the present communication. The curative resectability was 70.3 per cent in the carcinoma of the distal third of the stomach (A), 82.9 per cent in that of the middle third (M) and 55.3 per cent in that of the proximal third (C); the 5-year survival rate was 48.6 per cent in the cancer of A, 81.1 per cent in that of M and 49.1 per cent in that of C respectively. In the carcinoma of A incidence of high grade penetrative invasion into the gastric wall as well as metastatic involvment was high. It is noteworthy that the tendency of the metastasis was found even in those with low grade penetration. In the carcinoma of M the incidence of high grade penetration as well as lymphatic metastasis was relatively low. The hepatic metastasis and peritoneal dissemination were also not frequent. In the carcinoma of C the incidence of high grade penetration was very high and the lymphatic metastasis was frequently observed in those with high grade penetration. Biological characteristics of the carcinoma of the stomach in each location and their therapeutic significance are discussed.
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Maki, T., Masima, S. and Yosida, K.: Surgical aspect of the antral and pyloric carcinoma of the stomach. Gan no Rinsho (Japan. J. Cancer Clinics) 8: 785–792, 1962. (in Japanese)
Sakakibara, N. and Asakura, A.: Studies on the survival cases 5-years after the extended radical gastrectomy for the carcinoma of the stomach. Geka Chiryo (Surgical Therapy) 15: 156–161, 1966. (in Japanese)
Nishi, M., Nakamura, M., Hishida, Y., Yamanobe, T., Gotoda, K., Iwabuchi, M., Akiyama, T. and Kinoshita, I.: Study on the prognosis of stomach cancer performed radical operation in Cancer Institute Hospital—evaluated by regulation of Japanese Research Society for Gastric Cancer. Gan no Rinsho (Japan. J. Cancer Clinics) 13: 491–501, 1967. (in Japanese)
Murakami, E., Nagatomo, T., Hori, K., Asano, N., Shirai, T., Kurose, T., Bito, S., Sakaki, S., Yoshioka, J., Mizuno, S. and Taketani, H.: Clinical and histological studies on the prognosis of gastric cancer in Osaka Kosei Nenkin Hospital. Gan no Rinsho (Japan. J. Cancer Clinics) 13: 1094–1103, 1967. (in Japanese)
Maki, T., Sakai, H., Ishikawa, K., Sato, H., Inokuchi, K.: Special exhibition. Follow-up result of cancer (Carcinoma of the stomach). Gan Chiryo Gakkai Shi (Japan Soc. Cancer Therapy) 5: 137–154, 1970. (in Japanese)
Inokuchi, K., Furusawa, M. and Soejima, K.: Features of lymphnode metastases viewed from the localization of stomach cancer. Gan no Rinsho (Japan. J. Cancer Clinics) 16: 348–350, 1970. (in Japanese)
Okajima, K., Fujii, Y., Nakagawa, J., Endo, T., Kawai, T. and Takeshita, A.: On the grade of curative resection for the gastric cancer and on the other factors in relation to the prognosis. Gan no Rinsho (Japan. J. Cancer Clinics) 16: 327–339, 1970. (in Japanese)
Koga, S., Yamauchi, Y., Makihara, S. and Ayabe, M.: Characterization of the gastric carcinoma depending on its localization and therapeutic problems viewed from the stomach in the middle and distal parts of the stomach. Shuzutsu (Operation) 25: 328–334, 1971. (in Japanese)
Inokuchi, K., Ikeda, T., Furusawa, M., Soejima, K., Hiyama, T., Wakita, M. and Kaibara, N.: Late result of surgical therapy for stomach cancer. Gan no Rinsho (Japan. J. Cancer Clinics) 18: 203–208, 1972. (in Japanese)
Japanese Research Society for Gastric Cancer: The general rules for the gastric cancer. Jap. J. Surgery 3: 61–71, 1973.
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Soejima, K., Wakita, M., Tomoda, H. et al. Clinical characteristics of the carcinoma of the stomach and its localization. The Japanese Journal of Surgery 6, 19–23 (1976). https://doi.org/10.1007/BF02468615
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DOI: https://doi.org/10.1007/BF02468615