Noncurative resection for advanced gastric cancer

Yoshihiko Maehara, Yoshihiro Kakeji, Ikuo Takahashi, Toshiro Okuyama, Hideo Baba, Hideaki Anai, Keizo Sugimachi

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Between 1965 and 1985, 489 patients with advanced gastric cancer who were treated with gastric resection and in whom tumor cells remained after the operation were defined as cases of a “noncurative resection.” The clinicopathological features and prognosis of these patients were examined and two groups were prepared: locally advanced cancer and cancer with a distant metastasis. In locally advanced cancer cases, tumor cells remained in the neighboring organs, lymph nodes, and/or resected margins; in those with distant metastasis, peritoneal dissemination and/or liver metastasis were present regardless of whether or not the metastasis was removed, with or without locally noncurative factors. Serosal invasion was prominent and high rates of lymph node metastasis and lymphatic inolvement were evident in both groups. The survival rate for patients with locally advanced gastric cancer was better than that of patients with distant metastasis (P < 0.01). Survival time in patients with locally advanced cancer can be lengthened by resecting all of the primary tumor and as much of the metastatic lesions as possible, even if the surgical management is “noncurative.” Aggressive postoperative chemotherapy for patients with distant metastasis from a gastric cancer is to be recommended. © 1992 Wiley‐Liss, Inc.

Original languageEnglish
Pages (from-to)221-225
Number of pages5
JournalJournal of Surgical Oncology
Volume51
Issue number4
DOIs
Publication statusPublished - Dec 1992

Fingerprint

Stomach Neoplasms
Neoplasm Metastasis
Neoplasms
Lymph Nodes
Lymphatic Metastasis
Stomach
Survival Rate
Drug Therapy
Survival
Liver

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

Cite this

Maehara, Y., Kakeji, Y., Takahashi, I., Okuyama, T., Baba, H., Anai, H., & Sugimachi, K. (1992). Noncurative resection for advanced gastric cancer. Journal of Surgical Oncology, 51(4), 221-225. https://doi.org/10.1002/jso.2930510404

Noncurative resection for advanced gastric cancer. / Maehara, Yoshihiko; Kakeji, Yoshihiro; Takahashi, Ikuo; Okuyama, Toshiro; Baba, Hideo; Anai, Hideaki; Sugimachi, Keizo.

In: Journal of Surgical Oncology, Vol. 51, No. 4, 12.1992, p. 221-225.

Research output: Contribution to journalArticle

Maehara, Y, Kakeji, Y, Takahashi, I, Okuyama, T, Baba, H, Anai, H & Sugimachi, K 1992, 'Noncurative resection for advanced gastric cancer', Journal of Surgical Oncology, vol. 51, no. 4, pp. 221-225. https://doi.org/10.1002/jso.2930510404
Maehara Y, Kakeji Y, Takahashi I, Okuyama T, Baba H, Anai H et al. Noncurative resection for advanced gastric cancer. Journal of Surgical Oncology. 1992 Dec;51(4):221-225. https://doi.org/10.1002/jso.2930510404
Maehara, Yoshihiko ; Kakeji, Yoshihiro ; Takahashi, Ikuo ; Okuyama, Toshiro ; Baba, Hideo ; Anai, Hideaki ; Sugimachi, Keizo. / Noncurative resection for advanced gastric cancer. In: Journal of Surgical Oncology. 1992 ; Vol. 51, No. 4. pp. 221-225.
@article{7eb36f074fd44dbc9a5624b468594c7d,
title = "Noncurative resection for advanced gastric cancer",
abstract = "Between 1965 and 1985, 489 patients with advanced gastric cancer who were treated with gastric resection and in whom tumor cells remained after the operation were defined as cases of a “noncurative resection.” The clinicopathological features and prognosis of these patients were examined and two groups were prepared: locally advanced cancer and cancer with a distant metastasis. In locally advanced cancer cases, tumor cells remained in the neighboring organs, lymph nodes, and/or resected margins; in those with distant metastasis, peritoneal dissemination and/or liver metastasis were present regardless of whether or not the metastasis was removed, with or without locally noncurative factors. Serosal invasion was prominent and high rates of lymph node metastasis and lymphatic inolvement were evident in both groups. The survival rate for patients with locally advanced gastric cancer was better than that of patients with distant metastasis (P < 0.01). Survival time in patients with locally advanced cancer can be lengthened by resecting all of the primary tumor and as much of the metastatic lesions as possible, even if the surgical management is “noncurative.” Aggressive postoperative chemotherapy for patients with distant metastasis from a gastric cancer is to be recommended. {\circledC} 1992 Wiley‐Liss, Inc.",
author = "Yoshihiko Maehara and Yoshihiro Kakeji and Ikuo Takahashi and Toshiro Okuyama and Hideo Baba and Hideaki Anai and Keizo Sugimachi",
year = "1992",
month = "12",
doi = "10.1002/jso.2930510404",
language = "English",
volume = "51",
pages = "221--225",
journal = "Journal of Surgical Oncology",
issn = "0022-4790",
publisher = "Wiley-Liss Inc.",
number = "4",

}

TY - JOUR

T1 - Noncurative resection for advanced gastric cancer

AU - Maehara, Yoshihiko

AU - Kakeji, Yoshihiro

AU - Takahashi, Ikuo

AU - Okuyama, Toshiro

AU - Baba, Hideo

AU - Anai, Hideaki

AU - Sugimachi, Keizo

PY - 1992/12

Y1 - 1992/12

N2 - Between 1965 and 1985, 489 patients with advanced gastric cancer who were treated with gastric resection and in whom tumor cells remained after the operation were defined as cases of a “noncurative resection.” The clinicopathological features and prognosis of these patients were examined and two groups were prepared: locally advanced cancer and cancer with a distant metastasis. In locally advanced cancer cases, tumor cells remained in the neighboring organs, lymph nodes, and/or resected margins; in those with distant metastasis, peritoneal dissemination and/or liver metastasis were present regardless of whether or not the metastasis was removed, with or without locally noncurative factors. Serosal invasion was prominent and high rates of lymph node metastasis and lymphatic inolvement were evident in both groups. The survival rate for patients with locally advanced gastric cancer was better than that of patients with distant metastasis (P < 0.01). Survival time in patients with locally advanced cancer can be lengthened by resecting all of the primary tumor and as much of the metastatic lesions as possible, even if the surgical management is “noncurative.” Aggressive postoperative chemotherapy for patients with distant metastasis from a gastric cancer is to be recommended. © 1992 Wiley‐Liss, Inc.

AB - Between 1965 and 1985, 489 patients with advanced gastric cancer who were treated with gastric resection and in whom tumor cells remained after the operation were defined as cases of a “noncurative resection.” The clinicopathological features and prognosis of these patients were examined and two groups were prepared: locally advanced cancer and cancer with a distant metastasis. In locally advanced cancer cases, tumor cells remained in the neighboring organs, lymph nodes, and/or resected margins; in those with distant metastasis, peritoneal dissemination and/or liver metastasis were present regardless of whether or not the metastasis was removed, with or without locally noncurative factors. Serosal invasion was prominent and high rates of lymph node metastasis and lymphatic inolvement were evident in both groups. The survival rate for patients with locally advanced gastric cancer was better than that of patients with distant metastasis (P < 0.01). Survival time in patients with locally advanced cancer can be lengthened by resecting all of the primary tumor and as much of the metastatic lesions as possible, even if the surgical management is “noncurative.” Aggressive postoperative chemotherapy for patients with distant metastasis from a gastric cancer is to be recommended. © 1992 Wiley‐Liss, Inc.

UR - http://www.scopus.com/inward/record.url?scp=0026447737&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026447737&partnerID=8YFLogxK

U2 - 10.1002/jso.2930510404

DO - 10.1002/jso.2930510404

M3 - Article

C2 - 1434651

AN - SCOPUS:0026447737

VL - 51

SP - 221

EP - 225

JO - Journal of Surgical Oncology

JF - Journal of Surgical Oncology

SN - 0022-4790

IS - 4

ER -