AN UNUSUAL CASE
AN UNUSUAL CASE
复制标题
一个不寻常的案例
DOI：
10.2307/3404836
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Bravo
中科院分区：
文献类型：
--
作者：
Natalie;Bravo
两名患者在完全健康的情况下生活了两年多，其他三年，在显示复发之前。这是一个众所周知的事实，在胃癌复发往往是延迟。虽然永久治愈的百分比很小，但大量患者在部分胃切除术后复发之前至少享受两年的完美健康。当然，即使是不完全切除有时也会产生良好的结果，但这不应诱使外科医生切除离肿瘤太近的部位。通常可以预期会出现加速增长和快速复发。在切开胃后，我最近从近端残端切除了一条额外的组织，以立即冷冻切片。如果病理学家报告在这条带中存在癌细胞，如果技术上可行，则切除更多的胃。
two patients lived over two years in perfect well-being, the other three years, before showing recurrence. It is a well-known fact that recurrence in cancer of the stomach is quite often delayed. While the small percentage of permanent cures is very discouraging, a large number of patients enjoy at least two years of perfect well-being before getting recurrence after partial gastrectomy. The fact that even incomplete resection sometimes gives a fair result should not, of course, tempt the surgeon to resect too close to the tumor. Accelerated growth and rapid recurrence can often be expected to follow. After cutting across the stomach, I have lately been excising an additional strip of tissue from the proximal stump for immediate frozen section. If the pathologist reports presence of cancer cells in this strip, more of the stomach is resected, if technically possible.