위절제술을 시행한 위암 환자의 임상병리학적 특성의 연도별 변화

박만우; 배정민; 김세원; 김상운; 송선교

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자료유형: 학술저널

저자정보: 박만우 (영남대학교) 배정민 (영남대학교) 김세원 (영남대학교) 김상운 (영남대학교) 송선교 (영남대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.77 No.2

발행연도: 2009.8

수록면: 88 - 95 (8page)

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Purpose: Recently, early gastric cancer has increased in Korea. Thus, endoscopic treatment and laparoscopic gastrectomy has increased in early gastric cancer patients. We studied periodic change and characteristics in gastric cancer patients. Thus, we analyzed annual change of clinicopathological characteristics and long-term survival results of gastric cancer patients after radical gastrectomy over 10 years.
Methods: From 1995 to 2004, 2,387 patients underwent radical gastrectomy due to gastric cancer. We analyzed annual characteristics, sex, age distribution, cancer location, depth of invasion, lymph node metastasis, UICC stage and 5-year survival rates, retrospectively from medical records.
Results: The number of gastric cancer patient has increased annually. The ratio of male to female was 2 : 1. Gastric cancer was most common and increased annually in the 60~79-year age group. Early gastric cancer increased annually. The 5-year survival rate was 93% in stage Ⅰa, 89% in stage Ⅰb, 72% in stage Ⅱ, 51% in stage ⅢA, 38% in stage Ⅲb and 22% in stage Ⅳ. Multivariate analysis revealed that UICC stage (or depth of invasion and lymph node metastasis) and cancer location were the main independent prognostic factors.
Conclusion: Prognosis is improved due to increase of early gastric cancer. So, we should attempt diagnosis early and treat early gastric cancer. Active treatment is recommended even for the elderly gastric cancer patients. And care should be taken with respect to morbidity and mortality.

#Gastric cancer #Gastrectomy #Clinicopathological characteristics #위암 #위절제술 #임상병리학적 특징

참고문헌 (24)

참고문헌 신청

1. [학술지(정기간행물)] - Hai-Rim Shin / 2007 / National Cancer Incidence for the Year 2002 in Korea / Cancer Research and Treatment 39 (4) : 139 ~ 149

2. [단행본] - Ministry of Health and Welfare / 2007 / Yearbook of Health and Welfare Statistics / Ministry of Health and Welfare

3. [학술지(정기간행물)] - Noh SH / 1998 / Results after a gastrectomy of 2,603 patients with gastric cancer: analysis of survival rate and prognostic factor / J Korean Surg Soc 55 : 206 ~ 213

4. [학술지(정기간행물)] - Kim JP / 1998 / Clinicopathologic characteristics and prognostic factors in 10,783 patients with gastric cancer / Gastric Cancer 1 : 125 ~ 133

5. [학술지(정기간행물)] - 박종익 / 2008 / 위암 수술 후 생존율 분석: 원자력병원의 15년간 경험 / 대한위암학회지 8 (1) : 9 ~ 19

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