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Tis/ T1/T2 EVRELERİNDEKİ MİDE KARSİNOMU OLGULARINDA KÜRATİF REZEKSİYON SONUÇLARI

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Despite recent improvements in the diagnostic accuracy and techniques for early gastric carcinoma, some patients die of a recurrence, even after resection of an early gastric cancer, (EGC). It has been suggested that patients with T2. No carcinoma of the stomach has a comparable survival rate to patients with T1 carcinoma of the stomach. Study design.- Clinicopathologic features and survival rates of 50 patients with Tis/T1/T2 adenocarcinoma of stomach treated between 1989 to 1993 were reviewed. Prognostic significance of the clinicopathologic features in gastric carcinoma with invasion confined to the stomach wall was studied using both a univariate and a multivariate analysis. Results.- Excluding deaths from causes other than recurrence, five-year survival rate for patients with Tis/T1 carcinoma of stomach was 100 percent. Five-year survival rate for patients with T2 carcinoma of the stomach was 68.8 percent. Conclusions.- In patients with gastric carcinoma with invasion confined to the stomach wall, most important prognostic factor was lymph node invasion.
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Abstract (Original Language): 
1989-1993 yılları arasında, İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Genel Cerrahi Anabilim Dalında, primer mide adenokarsinomu sebebiyle rezeksiyon uygulanan 278 hastadan 50’sinde serozal invazyon bulunmadığını yani Tis/T1 ve T2 evrelerinde bulundukları tespit edildi. Bu retrospektif araştırmada, hatsalar ın en erken 5,5 sene, en geç 8 senelik uzun evreli takip sonuçları öğrenildi; ancak 2 hastaya ulaşılamadı. En az, geniş lokal eksizyon (3 olguda), çoğunlukla Distal Gastrektomi (28 olguda) uygulanan hastalarda Tis/T1 olgularında 5 yıllık sürvi %100 iken , T2 tümörlü olgularda 5 yıllık sürvi %68,8’dir. Nüks sebebiyle 5 yıl yaşayamayan T2 evresindeki tümörlü olgularda, lenf nodülü metastazı %91,6 iken, %8,3’de lenf nod ülü metastazı bulunmadığı tespit edilmiştir. Sonuç olarak serozal invazyon yapmamış, primer mide karsinomu olgularında, küratif rezeksiyon sonrası sürviyi etkileyen başlıca faktörün metastatik lenf nodüllerinin mevcudiyeti olduğu anlaşılmıştır.
FULL TEXT (PDF): 
PDF icon t2-evrelerindeki-mide-karsinomu-olgularinda-kuratif-rezeksiyon-sonuclari.pdf
  • 4
209-213
  • Turkish

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