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Cancer of the Upper Gastrointestinal Tract in the Young Adult; Gastric Cancer M. Furusawa 1 , K. Soejima 2 , T. Hiyama 2 , H. Tomoda 2 , M. Wakita 2 , N. Kaibara 2 , K. Wakasugi 2 1National Kyushu Cancer Center Hospital 2The Second Department of Surgery, Faculty of Medicine, Kyushu University pp.867-879
Published Date 1972/7/25
DOI https://doi.org/10.11477/mf.1403109183
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 Thirty one cases of gastric cancer in the young adult seen at the 2nd Department of Surgery, Kyushu University School of Medicine, during a 12-year period from 1960 to 1971 were reviewed. The incidence of gastric cancer in the young adult was 2.4% of 1,303 patients in whom laparotomy was performed. As the initial symptoms, epigastric pain and poor appetite were present in 54.8% and 22.6% respectively. As chief complaint, epigastric pain, and nausea and vomiting were present in 54.8% and 38.7% respectively. The duration of the symptoms was less than three months in 16.1% and longer than one year in 45.2%. A tumor mass was palpable in 45.2%, preoperatively. Early gastric cancer was detected in 4 instances (12.9%) and cancer at the stage Ⅳ was in 64.5% of 31 young patients with gastric cancer. Gastric resection was performed in 24 (77.4%) of the 31 patients treated by laparotomy. Curative oparation was performed in 11 (35.5%) of the cases, that is, 45.8% of 24 patients treated by gastric resection, and in 8 (66.7%) of 12 males and in 3 (25%) of 12 females with gastric resection. The major factor against the radical resection was peritoneal dissemination, present in 35.5% of the cases with laparotomy. AMC (the entire stomach), MC or CM was predominantly involved region in the young, compared with other age groups. The size of the lesions larger than 8.1 cm, in greatest diameter, was noted in 41.7%. Histological investigation revealed carcinoma simplex in 69.6%. A five year survival was noted in 23.2% of the 31 cases with a 74% of 11 cases treated by curative gastric resection.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

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

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