[Prognostic factors in neoplasms of the upper 2/3 of the stomach compared to the lower 1/3. Our experience].
The choice of the type of surgical treatment used in gastric cancer, in cases where it is possible to operate in relation to the extent of cancer, raises the question of whether the surgeon should perform a total exeresis of the organ, even in cases where the tumour is located in the 3rd distal of the stomach. A retrospective study was carried out on patients admitted to the Surgical Department of the University of Perugia between January 1963 and December 1988. Having rejected 123 cases because of incomplete data or insufficient follow-up, 1.140 cases were selected from a total of 1.263 patients. The sites of neoplasia were as follows: terminal esophagus: 1.76% of cases; cardia: 6.67%; fornix of the stomach: 9.37%; the body of the stomach and lesser curvature: 23.65%; body of the stomach (other portions): 10.07%; angulus: 3.63%; gastric antrum: 37.82%, pylorus: 4.45%; the remaining 2.58% showed a diffuse form involving two or more the above parts. The subdivision of the cases into stages, using the TNM classification, revealed the following groupings: 7.04% of patients were first observed at stage I, 20.70% at stage II, 42.04% at stage III and 30.20% at stage IV. From the above figures it is evident that radical surgical was indicated only in some of the patients observed. The prognostic factors examined in the comparative study of different tumour sites were: age, sex, macroscopic and histological tumour type, size, infiltration of neoplasia through gastric wall coat, lymph node and/or systemic diffusion.(ABSTRACT TRUNCATED AT 250 WORDS)
De Leo
S
S
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Perugia.
Carlini
G F
GF
Covarelli
P
P
Borgognoni
F
F
Lepri
P
P
Murgolo
V
V
Dominici
C
C
D000367:Age Factors; D002299:Cardia; D005748:Gastric Fundus; D006801:Humans; D007558:Italy; D009367:Neoplasm Staging; D011379:Prognosis; D011706:Pyloric Antrum; D012189:Retrospective Studies; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery
Fattori di prognosi nelle neoplasie dei 2/3 superiori dello stomaco rispetto a quelle del 1/3 inferiore. Nostra esperienza.