PROGNOSIS OF PATIENTS WITH GASTRIC CANCER REFERRED AS STAGE IV

TANJI SUZUKI; GEN-ICHI NAKANO; KEIICHI MUKAWA; KOSAKU SAKAMOTO; TERUHISA SAKURAI; MITSUGU MURATANI; SHOJI YABE; SHUJI YAMADA; TERUO OGAWA; RYOJI KATO; TORU KURIHARA

doi:10.2974/kmj1951.36.345

TANJI SUZUKI, GEN-ICHI NAKANO, KEIICHI MUKAWA, KOSAKU SAKAMOTO, TERUHISA SAKURAI, MITSUGU MURATANI, SHOJI YABE, SHUJI YAMADA, TERUO OGAWA, RYOJI KATO, TORU KURIHARA

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TANJI SUZUKI
First Department of Surgery, Gunma University School of Medicine
GEN-ICHI NAKANO
First Department of Surgery, Gunma University School of Medicine
KEIICHI MUKAWA
First Department of Surgery, Gunma University School of Medicine
KOSAKU SAKAMOTO
First Department of Surgery, Gunma University School of Medicine
TERUHISA SAKURAI
First Department of Surgery, Gunma University School of Medicine
MITSUGU MURATANI
First Department of Surgery, Gunma University School of Medicine
SHOJI YABE
First Department of Surgery, Gunma University School of Medicine
SHUJI YAMADA
First Department of Surgery, Gunma University School of Medicine
TERUO OGAWA
First Department of Surgery, Gunma University School of Medicine
RYOJI KATO
First Department of Surgery, Gunma University School of Medicine
TORU KURIHARA
First Department of Surgery, Gunma University School of Medicine

Keywords: Gastric cancer, Stage IV, Prognosis

JOURNAL FREE ACCESS

1986 Volume 36 Issue 4 Pages 345-350

DOI https://doi.org/10.2974/kmj1951.36.345

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Abstract

From 1970 to 1984, 691 cases of primary gastric cancer were treated in our department. According to the General Rules for Gastric Cancer Study, 342 cases were macroscopically referred as Stage IV. Of the 342 cases, 276 patients, whose prognostic factors were all clear and free from remote metastasis, were examined. From the results of this study, it was revealed that prognosis for cases of disseminating metastasis to the adjacent peritoneum (P₁), metastasis to lymph nodes of Group 3 (N₃ ₍₊₎), invasion to contiguous structures (S₃), S₃N₃ ₍₊₎, and P₁ N₃ ₍₊₎ was relatively good, if resection was performed. Such patients should be treated surgically even if noncurable.

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