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강남부(Nam Poo Kang),최성양(Seong Yang Choi),양두현(Doo Hyun Yang) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
N/A A retrospective study of early gastric cancer (84 patients) was done to evaluate the incidence of lymph nodc metastasis and the results of surgical treatment: during 10 years from Jan. 1983 to Dec. 1992. Out of 731 consecutive cases of gastric carcinoma diagnosed during that period, 84 cases (11.5%) was fulfilled the criteria of early gastric cancer. The peak incidence of age was sixth decade (38.1%) and the ratio of male to female was 2,1:1. The incidence of early gastric canrer among the total case of gastric cancer was 6.9% in 1983, but is increasing tendency nowadays. The rate of lymph node metastasis was 4% in mucosa cancer and 13.6% in submueosal cancer. Lymph node metastasis was noted in the case of depressed type over 4.1 cm in size of miscosal type, and depressed type in any size of submucosal type. The incidence of lymph node metastasis was highest in the early gastric cancer which developed in antrum. The histologic type which had most common lymph node metastasis was poorly differentiated adenocavcinoma and the next type was moderately differentiated adenocarcinoma. 80 cases oi early gastric cancer underwent radical subtotal gastrectomy with R2 dissection and 4 c ases underwent rardical proximal gastrectomy due to high location. Kaplan-Meier estimate 5 year survival rate was 100% in mucosal cancer, 92.8%; in submucosal cancer, 85.7.% in lymph node metastatic group and 95.8% in lymph node negative group.
한병목(Byeong Mok Han),최성양(Seong Yang Choi),양두현(Doo Hyun Yang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A The CT appearance of dilated hepatic lymphatics in liver transplant recipient.s has been de- scribed recently. We observed similar findings of presumed hepatic periportal lymphedema after curative resection with R,+a node dissection including the lymph node in the hepatoduodenal ligament in advanced gastric cancer. We could find the hepatic periportal lymphedema in 85% of 20 patients on abdominal CT scan taken 7 days after operation and 65 % of 20 patients on abdonminal CT scan taken 6 months after operation. But in the early gas- tric cancer operated by curative resection with R dissection without dissection of lymph node in the hepatoduodenal ligament and ulcer disease without lymph node dissection were not re- vealed hepatic periportal lymphedema. In conclusion, hepatic periportal lyrnphedema on abdominal CT scan after dissection of lymp node in the hepatoduodenal ligament is very useful as a evidence of completeness of dissection of lymph node in the hepatoduodenal ligament and we can predict the metastasis of the lymph node in the hepatoduodenal ligament when hepatic periportal lymphedema appears on abdomi- nal CT scan after R, dissection in the cases of early gastric cancer.(Korean J Gastroenterol 1994; 26: 410 416)