The Tohoku Journal of Experimental Medicine
Online ISSN : 1349-3329
Print ISSN : 0040-8727
ISSN-L : 0040-8727
Surgical Treatment and Adjuvant Chemotherapy of Gastric Cancer on the Basis of Pathological Findings
KOICHI YOSHIDA, HIROSHIGE IKEUCHI, MITSUMASA OSHIBE, TETSUTA MACHIDA, HIROO HOSHI, MICHIHIRO TAKAHASHI
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キーワード: gastric cancer, adjuvant chemotherapy, survival rate
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1977 年 122 巻 2 号 p. 113-120

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Gastrectomy was performed in 626 out of 692 operated cases of gastric cancer. Histologic examination of the resected specimens revealed that the cancer was confined to the mucosal (m) or submueosal layer (sm) in 256 cases, advanced to the muscularis propria (pm) or subserosal layer (ss) in 110, and to the serosa (se) or the surrounding organs (si, sei) in 260. 238 (93%) of m and sm cases were free from lymphnode metastasis. Lymphnode metastasis was noted in 51 (46%) of pm and ss cases. In 229 se cases, 177 (77%) were positive in lymphnode metastasis and 108 (47%) showed metastasis in n2 and n3 degree. Adjuvant chemotherapy fairly improved the postoperative survival rate of the advanced cases with lymphnode metastasis, serosal involvement, or lymph and blood vessel involvement of gastric cancer.
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  • About this Journal
    The Tohoku Journal of Experimental Medicine (TJEM) was founded in 1920 by professors of Tohoku Imperial University, Medical School. The TJEM has been published continuously, except for the year of 1946 just after the World War II. The TJEM is open to original articles in all branches of medical sciences. The TJEM also covers the fields of disaster-prevention science, including earthquake archeology.


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