雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Canceration of Gastric Ulcer: Centering on clinical follow-ups Y. Hara 1,2 1Niigata Cancer Center Hospital pp.565-572
Published Date 1976/5/25
DOI https://doi.org/10.11477/mf.1403107231
  • Abstract
  • Look Inside

 Following studies have been done on 2,511 cases of gastric ulcer treated in Niigata Cancer Center April 1961~December 1973, especially on 1,474 cases with confirmed healing.

 1. The incidence of gastric cancer detected after surgery which had been diagnosed as ulcer prior to operation was 1.4 per cent for 281 cases during 1961~1964 ; 1.7 per cent for 666 cases during 1965~1969; and for 832 cases in the years 1970~1973 it was as low as 0.6 per cent. In other words, progress in X-ray, endoscopy, biopsy and cytology now makes it possible to obtain before the operation about 99 per cent accurate diagnosis for gastric cancer.

 2. Canceration of intractable ulcer : ―Of 193 cases of gastric ulcer that did not respond to medical management of six months' duration, 44 cases were operated on. Only one of them displayed Ⅲ+Ⅱc type early cancer.

 3. Cases of early gastric cancer probably arising from the area of ulcer scar: ―Long-term follow up of ulcer cases twice a year even after confirmed healing revealed that 13 out of 1,462 cases (1962~1974) showed malignant cycle (0.9 per cent) ; in another 7 cases it was difficult to decide whether the detected lesion represented canceration or malignant cycle (0.5 per cent). Two of 7 cases belonged to early cancer and 4 showed slight involvement of the muscularis propria.

 4. In the course of long-term follow-ups of healed ulcer cases, cancer developed in other regions of the stomach in 4 of 1,462 such cases (0.3 per cent).

 5. The rate of cancer detection in gastric mass survey was 0.29 per cent.

 6. Of 1,462 cases with antecedent history of ulcer, gastric cancer was detected in 11 (0.8 per cent). Statistically, this high rate is of great significance as compared with cancer incidence in gastric mass screening.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有