Korean Journal of Gastrointestinal Endoscopy 1988;8(1): 33-38.
pm 위암 34예에 관한 임상적 고찰 ( Clinical Studies on the 34 Cases of pm - Gastric Cancer )
유종선, 범희승, 최성규, 박해옥, 양대현, 조정곤, 윤종만 (Jong Sun Rew, Hee Seung Bom, Seong Kyu Choi, Hae Ok Park, Dae Hyun Yang, Jung Kon Cho and Jung Kon Cho)
Abstract
The records of 34 patients with histologically proven pm-gastric cancer were reviewed from Chonnam University Hospital during the recent 6 year period, 1981, to 1986. The male outnumbered female in a ratio of 2.4:1.0. The peak incidence was 6th decade and mean age were 53.8 years in male, 48.7 years in female respectively. pm-gastric cancer was most often seen on the lesser curvature side, eapecially in the lower 1/3 of the stomach. Macroscopically, it can be divided into early-cancer-like type and Borrmann type. Early-cancer-like type was more frequent than Borrmann type. Early-cancer-like type IIc+III was most often seen with a rate of 20.6%, followed in the order of frequency by Borrman type II, early-cancer-like type IIc, IIa+IIc, and Ile+ IIa. The incidence of lymph node involvement was 26.4% and were related to the macroscopic types and/or histologic differentiation degrees. 5 cases out of 34 pm-gastric cancer expired during the follow up period, and their mean survival time was 32.8 months. The type of operation and the extent of resection were closely related to survival. Five year survival rate was 54.0%. These results shows the significance of the pm-gastrie cancer as a early simulating advanced cancer.
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