1988 Volume 49 Issue 5 Pages 784-788
The records of 85 patients who had gastric cancer with microscopical invasion to neighboring organs during the past 15 years were reviewed. The neighboring organ which was most frequentry involved was the pancreas, this invasion occurring in 39 patients (45.8%). Curative surgery by combined resection of the stomach and the invaded organs was performed in 25 patients (29.4%), and there 5-year survival rate was 21.2%, whereas the 5-year survival rate for patients who underwent noncurative surgery was only 4.7%. In conclusion, if the general condition of patient the suggests that surgery can be tolerated, the invaded neighboring organs should be resected with the stomach. Furthermore, the prognosis was less favorable in patients with invasion to the diaphragm. For this reason, wide spread of cancer cell in the diaphragm was detected by histological examination of the cases in this study.
