存活5年以上老年胃癌22例临床分析

本文总结我院1972年以来追随观察生存五年以上老年胃癌22例。早期胃癌占45%(10/22),进展期胃癌占55%(12/22)。腺癌占95%(21/22)。淋巴结转移32%(7/22)。全部经根治性手术。术后接受化疗14人占64%,其中进展期胃癌占86%(12/14)。提示手术及术后化疗对延长生命都起着重要作用。尤其对进展期胃癌伴淋巴结转移者更重要。对腺癌效果较好,胃体癌预后较佳。小剂量多疗程化疗是一种安全、稳妥、可靠的方法,尤其适用于老年患者。

Clinical Study of 22 Senile cases of gastric carcinoma

This paper reported 22 senile patients with gastric carcinoma surviing more than 5 years.Fo- rty-five per cent of them suffered from early carcinoma and 55% from advanced carcinoma.Aeno- carcinoma accounted for 95% and 32% of these patients showed metastasis of lymph nodes.All patients have been operated on and postoperative chemotherapy was given to 64%.Patients with advanced carcinoma made up 86% of these cases receiving chemotherapy.Therefore,operation and chemothecapy are of prime importance in the treatment of advanced gastric careinoma.Adnocaci- noma appears to be more sensitive to chemotherapy.Carcinoma at the body of the stomach sensit- ivemay be considered favourable in prognosis.Light chemotherapy of several courses appears to be save and effective in the elderly.