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The Japanese journal of surgery

, Volume 11, Issue 5, pp 330–336 | Cite as

Comparative studies on cytological and histological evaluations of disseminating peritoneal metastasis in gastric cancer

  • Masashi Hirono
  • Kei Matsuki
  • Kazuhiko Nakagami
  • Minoru Niimoto
  • Takao Hattori
Original Articles

Abstract

Macroscopic disseminating peritoneal metastasis of gastric cancer (P) was investigated in relation to its compatibility with microscopic findings (p) in 52 (P1 19, P2 21, P3 12) cases among 240 gastrectomized cases by cytological, histological, clinical and postmortem findings. In total, numbers of the evaluations for yes (P is p), probable (P is probably p), possible (P is possibly p), probably not (P is probably not p) and no (P is not p) were 28 (53.8%), 8 (15.4%), 14 (26.9%), 2 (3.8%) and 0, respectively. These results indicate that macroscopic disseminating peritoneal metastasis is compatible with microscopic findings, in most cases. Although histology is the most contributory factor for the evaluation of peritoneal dissemination, cytology of lavaged saline from the Douglas pouch also is important.

Key Words

gastric cancer peritoneal metastasis cytology histology autopsy clinical findings 

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References

  1. 1.
    The General Rules for the Gastric Cancer Study in Surgery and Pathology, Japanese Research Society for Gastric Cancer. Jpn. J. Surg., 11: 127–139, 1981.CrossRefGoogle Scholar
  2. 2.
    Hirono, M., Matsuki, K., Nakagami, K., Makihara, H., Shimura, K., Niimoto, M. and Hattori, T.: Cytological studies on intraperitoneal free cancer cells of gastric cancer at laparotomy I. Correlation with histological type and prognosis. Hiroshima Igaku (J. Hiroshima Med. Ass.) 34: 250–253, 1981 (in Japanese).Google Scholar
  3. 3.
    Papanicolaou, G.N.: Atlas of Exfoliative Cytology. Harvard Univ. Press, Cambridge, Mass., 1954.Google Scholar
  4. 4.
    Nakajima, T., Oikawa, T., Ohashi, I., Harajima, S., Hirata, M., Nakamura, K. and Kajitani, T.: Clinical significance of peritoneal cytology during the operation in advanced gastric cancer. Gann no Rinsho (Jpn. J. Cancer. Clin.) 23; 27–34, 1977 (in Japanese with English summary).Google Scholar
  5. 5.
    Iitsuka, Y., Kaneshima, S., Tanida, O., Takeuchi, T. and Koga, S.: Intraperitoneal free cancer cells and their viability in gastric cancer. Cancer 44: 1476–1480, 1979.PubMedCrossRefGoogle Scholar

Copyright information

© The Japan Surgical Society 1981

Authors and Affiliations

  • Masashi Hirono
    • 1
  • Kei Matsuki
    • 1
  • Kazuhiko Nakagami
    • 1
  • Minoru Niimoto
    • 1
  • Takao Hattori
    • 1
  1. 1.Department of Surgery, Research Institute for Nuclear Medicine and BiologyHiroshima UniversityHiroshimaJapan

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