Clinicopathological Analysis of Borrmann Type IV Gastric Cancer
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Abstract
Purpose: Borrmann type IV gastric cancer is often diagnosed only at an advanced stage, resulting in a prognosis poor. We performed a retrospective study of the clinical characteristics of Borrmann type IV gastric cancer and the prognostic factors affecting the survival rate in such patients. Materials and Methods: Of 4,063 patients with all gastric cancers, 370 (9%) with Borrmann type IV gastric cancer were analyzed. Results: The clinical characteristics of these patients included a higher incidence rate in young females, and higher rates of serosa exposure, metastasis to lymph nodes and early peritoneal dissemination. Of patients presenting with peritoneal seeding, those resected had a higher survival rate than those that were not. A univariate analysis showed that the prognostic factors affecting the survival rate following a curative resection were the location, occupied area and depth of the primary tumor, as well as the presence of lymph node metastasis and the tumor stage. A multivariate analysis indicated that the tumor location and stage were significant independent prognostic factors after a curative resection for Borrmann type IV gastric cancer. Conclusion: In conclusion, the early diagnosis and treatment of patients with Borrmann type IV gastric cancer are essential for the better survival of these patients. Even in patients with advanced tumors, a noncurative palliative resection may improve the prognosis.
참고문헌 (16)
- "Clinicopathologic study of patients with Borrmann type IV gastric carcinoma", 58, pp.112~7 (1995)
- "Lower survival rate for patients with carcinoma of the stomach of Borrmann type IV after gastric section", 175, pp.13~6 (1992)
- "Risk factors which predict pattern of recurrence after curative surgery for patients with advanced gastric cancer", 1, pp.341~6 (1992)
- "Japanese Research Society for Gastric Cancer Japanese classification of gastric carcinoma" (1998), Kanehara
- "Scirrhous carcinoma of the stomach:a clinical and pathological study of 106 surgical cases", 24, pp.481~7 (1989)
- "Scirrhous carcinoma occurring in the corpus", pp.797~814 (1974)
- "Pathological studies of human gastric cancer", suga(h), pp.2 329~47 (1982)
- "Clinicopathologic characteristics and prognostic factors in 10 783 patients with gastric cancer", 1, pp.125~33 (1998)
- "Surgically curable and incurable scirrhous carcinomas of the stomach", 65, pp.194~200 (1997)
- "Gastric linitis plastica is not a surgical disease", 106, pp.758~62 (1989)
- "Extended surgery-left upper abdominal exenteration plus Appleby's method-for type 4 gastric carcinoma", 4, pp.209~14 (1997)
- "Regional lymph node metastasis as a predictor of peritoneal carcinomatosis in patients with Borrmann type IVgastric carcinoma", 4, pp.434~7 (1999)
- "A rational technique for surgical operation on Borrmann type 4 gastric carcinoma", pp.116~9 (1988)
- "Prognosis of gastric carcinoma after curative surgery", pp.757~63 (1992)
- "Palliative gastrectomy for advanced gastric cancer", 48, pp.285~9 (2001)
- "Does the extent of lymph node dissection affect the postoperative survival of patients with gastric cancer and disseminating peritoneal metastases", pp.40~3 (1994)