PATHOLOGICAL CHARACTERISTICS OF GASTRIC-CANCER THAT DEVELOP HEMATOGENOUS RECURRENCE, WITH SPECIAL REFERENCE TO THE SITE OF RECURRENCE
PATHOLOGICAL CHARACTERISTICS OF GASTRIC-CANCER THAT DEVELOP HEMATOGENOUS RECURRENCE, WITH SPECIAL REFERENCE TO THE SITE OF RECURRENCE
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DOI：
10.1002/jso.2930360405
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发表时间：
1987-12-01
影响因子：
2.5
通讯作者：
MAKINO, M
中科院分区：
文献类型：
--
作者：
KOGA, S;TAKEBAYASHI, M;MAKINO, M
本文对57例胃癌血行性复发患者的病理特点按复发部位进行了病理分析。在肝脏中发展的胃癌复发中，肉眼观察显示Borrmann 2型和3型癌最常见。镜下观察发现髓样型分化或低分化腺癌发生率高，癌细胞侵犯血管相对频繁，与血行转移密切相关。另一方面，关于在肺或骨中发展的胃癌复发，分别更频繁地观察到Borrmann 3型和4型。在这些病例中，显微镜分析显示这些癌症是低分化腺癌。在骨复发的胃癌中，硬结型肿瘤的复发率高于其他类型。根据胃癌的病理学特点，预测其可能的血行性复发及其部位，对胃癌术后的治疗具有重要意义。
The pathologic characteristics of gastric cancer in 57 patients with hematogenous recurrence were pathologically analyzed by the site of recurrence. In recurrence of gastric cancer that developed in the liver, macroscopic observation revealed that cancers of Borrmann type 2 and 3 were most frequent. Microscopic examination revealed that the rate of occurrence of the medullary type of differentiated or poorly differentiated adenocarcinoma were high and that there were relatively frequent invasion by cancerous cells of the blood vessel that were closely related to the hematogenous metastasis. On the other hand, with respect to recurrence of gastric cancer that had developed in the lung or bone, Borrmann type 3 and 4, respectively, were more frequently observed. In these cases, microscopic analysis revealed that these cancers were poorly differentiated adenocarcinomas. In gastric cancer with bone recurrence, the rate of recurrence of the scirrhous type of tumor were higher than that of other types. It is important, for the management of patients after gastric cancer surgery, to predict possible hematogenous recurrence and its site by evaluation of the pathologic characteristics of the gastric cancer.