胃癌－78病例之臨床分析

慈濟醫院，自1986年8月至1990年4月，共78個胃癌病例，男性與女性之比例為2.4：1，男性平均年齡為63.6歲，女性平均年齡為61.2歲，臨床表現症狀以腹痛及腹部腫瘤為主，實驗檢查以高LDH值，低血蛋白為主。外科手術切除率為30.8%（24／78），其1年存活率為55.5%，2年存活率為33.3%，平均存活時間為13.6個月。外科輔助性手術者7.7%（6／78），平均存活時間為94.4日，無法手術者存活時間為51.2日。此間之低切除率為影響預後之主要原因之一。

關鍵字

胃癌；切除率；存活率；手術治療

並列摘要

Between Aug. 1986 and Apr. 1990, a total of 78 cases of gastric cancer were admitted to the Tz’u-Chi Buddhist General Hospital. The male to female ratio was 2.4 to 1. Mean age of diagnosis for male patients was 63.6 years, and that for female patients was 61.2 years. Abdo-minal pain and abdominal mass were the most common symptoms. Elevated LDH and hypoalbuminemic were the most common abnormal laboratory data. The resection rate was 30.8% (24/78). One-year survival rate and 2-year survival rate were 55.5% and 33.3%, respect-tively. Average survival period for these cases was 13.6 months. Six patients (7.7%) under-went palliative surgery and average survival period for them was 94.4 days. Average survival period for inoperable cases was 51.2 days. Low resection rate was one of the most important factors affecting the prognosis.

並列關鍵字

Adenocarcinoma of stomach ； resection rate ； survival treatment

延伸閱讀

Chen, C. C., Tsai, M. J., Luo, Y. N., Lee, M. D., & Lin, K. Y. (2006). 早期胃癌的臨床病理. 北市醫學雜誌, 3(6), 632-641. https://doi.org/10.6200/TCMJ.2006.3.6.11
Wang, T. H., Sung, J. L., Yu, J. Y., Wei, T. C., How, S. W., Wang, C. Y., Chen, D. S., Hsieh, S. C., Yang, T. H., Chen, K. M., Hsu, S. C., Lai, M. Y., Sheu, J. C., Lin, J. T., Yang, P. M., & Wu, C. F. (1984). 早期胃癌─臺大醫院106例之分析. 中華民國消化系醫學會雜誌, 1(1), 26-37. https://doi.org/10.6557/GJTa.198401_1(1).0005
邱治成、林肇堂（1993）。早期胃癌之現況。當代醫學，(233)，176-179。https://doi.org/10.29941/MT.199303.0002
BALSELLS, J., MARGARIT, C., MURIO, E., LAZARO, J. L., CHARCO, R., VIDAL, M. T., & BONNIN, J. (1993). ADENOCARCINOMA IN CAROLI'S DISEASE TREATED BY LIVER TRANSPLANTATION. HPB Surgery, 1993(), j81-87. https://doi.org/10.1155/1993/61048
Azuma, T., Matayoshi, Y., & Nagase, Y. (2012). Primary Mucinous Adenocarcinoma of the Testis. Case Reports in Medicine, 2012(), 189-191-248. https://doi.org/10.1155/2012/685946

國際替代計量

胃癌－78病例之臨床分析

全文下載

主題瀏覽