지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.5
- 수록면
- 341 - 346 (6page)
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Purpose: Due to the biological characteristics of cardia cancer, prognosis is poor. It is therefore essential to achieve a sufficient proximal resection margin to maximize survival. The authors studied gastric cardia cancer, focusing on adenocarcinoma.
Methods: One-hundred fifty patients who were diagnosed with gastric cardia cancer and underwent surgery between January 1990 and December 2006 by a single surgeon were included in this study.
Results: Of the 150 cases, 141 were adenocarcinomas, 4 were carcinomas, and 3 were leiomyosarcomas. In the adenocarcinoma group, the male-to-female ratio was 2.62:1. There were 2, 60, and 79 (56.0%) cases of adenocarcinoma type Ⅰ, Ⅱ, and Ⅲ, respectively, and there were 32 (22.7%), 18 (12.8%), 70 (49.6%), and 21 (14.9%) cases of stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ tumors, respectively. The mean distance from the proximal tumor to the resection margin was 1.93±1.72 ㎝ pathologically, and there was tumor invasion of the resection margin in 4 cases (2.8%). In the 10 cases of extended surgery in type Ⅱ, the mean distance was 5.85±3.67 ㎝, with no tumor invasion of the resection margin. Recurrence occurred in 30 (21.3%) cases, and 5 of those cases were local anastomotic site recurrences. Cumulative survival was 81.3%, 77.8%, 51.4%, and 28.6% for stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ tumors, respectively.
Conclusion: Although it is possible to remove the tumor with an appropriate resection margin by only an abdominal incision, the surgeon should always keep in mind the possibility of a thoracoabdominal incision when operating on a patient with esophageal infiltration.
Methods: One-hundred fifty patients who were diagnosed with gastric cardia cancer and underwent surgery between January 1990 and December 2006 by a single surgeon were included in this study.
Results: Of the 150 cases, 141 were adenocarcinomas, 4 were carcinomas, and 3 were leiomyosarcomas. In the adenocarcinoma group, the male-to-female ratio was 2.62:1. There were 2, 60, and 79 (56.0%) cases of adenocarcinoma type Ⅰ, Ⅱ, and Ⅲ, respectively, and there were 32 (22.7%), 18 (12.8%), 70 (49.6%), and 21 (14.9%) cases of stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ tumors, respectively. The mean distance from the proximal tumor to the resection margin was 1.93±1.72 ㎝ pathologically, and there was tumor invasion of the resection margin in 4 cases (2.8%). In the 10 cases of extended surgery in type Ⅱ, the mean distance was 5.85±3.67 ㎝, with no tumor invasion of the resection margin. Recurrence occurred in 30 (21.3%) cases, and 5 of those cases were local anastomotic site recurrences. Cumulative survival was 81.3%, 77.8%, 51.4%, and 28.6% for stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ tumors, respectively.
Conclusion: Although it is possible to remove the tumor with an appropriate resection margin by only an abdominal incision, the surgeon should always keep in mind the possibility of a thoracoabdominal incision when operating on a patient with esophageal infiltration.
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REFERENCES
참고문헌 (21)
참고문헌 신청
Mittal R , 1997 , The esophagogastric junction , N Engl J Med 336 : 13924 ~ 13932
Steup WH , 1996 , Tumors of the esophagogastric junction , J Thor Cardio Surg 117 : 16 ~ 25
Siewert JR , 1998 , Classification of carcinoma of the oesophagogastric junction , Br J Surg 85 : 1457 ~ 1459
Sobin LH , 2002 , International Union Against Cancer. TNM Classification of Malignant Tumors , John Wiley & Sons Inc
Kim JP , 1994 , Clinical analysis of gastric cardia cancer , J Kor Cancer Asso 26 : 361 ~ 368
Steup WH , 1996 , Tumors of the esophagogastric junction , J Thor Cardio Surg 117 : 16 ~ 25
Siewert JR , 1998 , Classification of carcinoma of the oesophagogastric junction , Br J Surg 85 : 1457 ~ 1459
Sobin LH , 2002 , International Union Against Cancer. TNM Classification of Malignant Tumors , John Wiley & Sons Inc
Kim JP , 1994 , Clinical analysis of gastric cardia cancer , J Kor Cancer Asso 26 : 361 ~ 368
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UCI(KEPA) : I410-ECN-0101-2013-514-002693161