存活5年以上老年胃癌22例临床分析
Clinical Study of 22 Senile cases of gastric carcinoma
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摘要: 本文总结我院1972年以来追随观察生存五年以上老年胃癌22例。早期胃癌占45%(10/22),进展期胃癌占55%(12/22)。腺癌占95%(21/22)。淋巴结转移32%(7/22)。全部经根治性手术。术后接受化疗14人占64%,其中进展期胃癌占86%(12/14)。提示手术及术后化疗对延长生命都起着重要作用。尤其对进展期胃癌伴淋巴结转移者更重要。对腺癌效果较好,胃体癌预后较佳。小剂量多疗程化疗是一种安全、稳妥、可靠的方法,尤其适用于老年患者。Abstract: This paper reported 22 senile patients with gastric carcinoma surviing more than 5 years.Forty-five per cent of them suffered from early carcinoma and 55% from advanced carcinoma.Aenocarcinoma accounted for 95% and 32% of these patients showed metastasis of lymph nodes.All patients have been operated on and postoperative chemotherapy was given to 64%.Patients with advanced carcinoma made up 86% of these cases receiving chemotherapy.Therefore,operation and chemothecapy are of prime importance in the treatment of advanced gastric careinoma.Adnocacinoma appears to be more sensitive to chemotherapy.Carcinoma at the body of the stomach sensitivemay be considered favourable in prognosis.Light chemotherapy of several courses appears to be save and effective in the elderly.
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