[Analysis of patients survived over ten years after resection of gastric cardia carcinoma].
OBJECTIVE
To investigate factors affecting long-term survival in patients with resected gastric cardia cancer.


METHODS
Survival was analyzed retrospectively in 584 patients with gastric cardia carcinoma who received tumor resection from 1964 through 1982.


RESULTS
The 10-year survival rate was 17.1%. The major factors influencing survival were clinical staging, degree of differentiation, gross tumor type and size (P < 0.05) and status of lymph node metatasis (P < 0.01). Residual tumor at resection edge and tumor thrombi did not significantly affect survival, nor did sex/age, and course of the disease.


CONCLUSIONS
Early detection, early diagnosis and early surgical resection are the key to improve 10-year survival of patients with resected cancer of the gastric cardia. Why residual tumor left at the resection edge and the presence of tumor thrombi do not influence survival needs to be further studied.
Yuan
H
H
Department of Thoracic Surgery, Shanxi Provincial Tumor Hospital, Taiyuan 030013.
Guo
S
S
Feng
S
S
D000328:Adult; D000368:Aged; D002299:Cardia; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality* / Q000601:surgery; D015996:Survival Rate