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분문부 위암: Personal Experience
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 윤호영 | - |
dc.contributor.author | 김충배 | - |
dc.date.accessioned | 2015-05-19T16:29:10Z | - |
dc.date.available | 2015-05-19T16:29:10Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/106394 | - |
dc.description.abstract | Purpose: Due to the biological characteristics of cardia cancer, prognosis is poor. It is therefore essential to achieve a sufficient proximal resection margin to maximize survival. The authors studied gastric cardia cancer, focusing on adenocarcinoma. Methods: One-hundred fifty patients who were diagnosed with gastric cardia cancer and underwent surgery between January 1990 and December 2006 by a single surgeon were included in this study. Results: Of the 150 cases, 141 were adenocarcinomas, 4 were carcinomas, and 3 were leiomyosarcomas. In the adenocarcinoma group, the male-to-female ratio was 2.62:1. There were 2, 60, and 79 (56.0%) cases of adenocarcinoma type I, II, and III, respectively, and there were 32 (22.7%), 18 (12.8%), 70 (49.6%), and 21 (14.9%) cases of stage I, II, III, and IV tumors, respectively. The mean distance from the proximal tumor to the resection margin was 1.93±1.72 cm pathologically, and there was tumor invasion of the resection margin in 4 cases (2.8%). In the 10 cases of extended surgery in type II, the mean distance was 5.85±3.67 cm, with no tumor invasion of the resection margin. Recurrence occurred in 30 (21.3%) cases, and 5 of those cases were local anastomotic site recurrences. Cumulative survival was 81.3%, 77.8%, 51.4%, and 28.6% for stage I, II, III, and IV tumors, respectively. Conclusion: Although it is possible to remove the tumor with an appropriate resection margin by only an abdominal incision, the surgeon should always keep in mind the possibility of a thoracoabdominal incision when operating on a patient with esophageal infiltration | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 341~346 | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 분문부 위암: Personal Experience | - |
dc.title.alternative | Cardia Cancer: Personal Experience | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 윤호영 | - |
dc.contributor.googleauthor | 김국진 | - |
dc.contributor.googleauthor | 이상훈 | - |
dc.contributor.googleauthor | 김충배 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02626 | - |
dc.contributor.localId | A01063 | - |
dc.relation.journalcode | J01893 | - |
dc.identifier.pmid | Cardia cancer ; Siewert classification ; Gastroesophageal junction | - |
dc.subject.keyword | Cardia cancer | - |
dc.subject.keyword | Siewert classification | - |
dc.subject.keyword | Gastroesophageal junction | - |
dc.contributor.alternativeName | Yoon, Ho Young | - |
dc.contributor.alternativeName | Kim, Choong Bai | - |
dc.contributor.affiliatedAuthor | Yoon, Ho Young | - |
dc.contributor.affiliatedAuthor | Kim, Choong Bai | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 74 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 341 | - |
dc.citation.endPage | 346 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.74(5) : 341-346, 2008 | - |
dc.identifier.rimsid | 44401 | - |
dc.type.rims | ART | - |
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