首页> 美国卫生研究院文献>Annals of Surgery >Comparison of survival curves of gastric cancer patients after surgery according to the UICC stage classification and the General Rules for Gastric Cancer Study by the Japanese Research Society for gastric cancer.
【2h】

Comparison of survival curves of gastric cancer patients after surgery according to the UICC stage classification and the General Rules for Gastric Cancer Study by the Japanese Research Society for gastric cancer.

机译:根据UICC阶段分类和日本胃癌研究学会的胃癌研究通则比较胃癌患者术后的生存曲线。

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

OBJECTIVE: This study compared the UICC classification with the General Rules for Gastric Cancer Study (GRGCS) of the Japanese Research Society by analyzing recent results of gastric cancer surgery in Japan. SUMMARY BACKGROUND DATA: The present UICC stage classification for gastric cancer was published in 1987 and the Japanese GRGCS were published in 1985. Both are based on the results of surveys conducted in the early 1970s. METHODS: The survival curves of 926 patients, who underwent gastric cancer surgery between 1982 and 1985 at Kyoto University Hospital and its 31 associated hospitals, were analyzed according to the UICC classification and the GRGCS using SAS computer software. RESULTS: There was no difference in survival rate between UICC stages IA and IB. GRGCS stage III was found to include UICC stages II, IIIA, and IIIB, and GRGCS stage IV included UICC stages IIIA, IIIB, and IV, with significantly different survival rates. In contrast, each UICC stage included different GRGCS stages with no significant differences in survival rates. The survival rate of stage IV patients of both classifications who underwent gastrectomy was significantly higher than that of stage IV patients receiving bypass or exploratory surgeries. CONCLUSIONS: The UICC classification is better than the GRGCS for classifying gastric cancer in Japan. However, UICC stage I does not need to be subdivided into stages IA and IB, and stage IV should be further subdivided into stages IVA and IVB according to the surgery performed: IVA, gastrectomy, and IVB, bypass or exploratory surgery.
机译:目的:本研究通过分析日本胃癌手术的最新结果,将UICC分类与日本研究学会的《胃癌研究通则》(GRGCS)进行了比较。摘要背景数据:胃癌的当前UICC分期分类于1987年公布,日本的GRGCS于1985年公布。两者均基于1970年代初进行的调查结果。方法:根据UICC分类和GRGCS,使用SAS计算机软件分析1982年至1985年在京都大学医院及其31家相关医院接受胃癌手术的926例患者的生存曲线。结果:UICC IA和IB期的生存率无差异。发现GRGCS III期包括UICC II,IIIA和IIIB期,而GRGCS IV期包括UICC IIIA,IIIB和IV期,其生存率差异显着。相反,每个UICC阶段包括不同的GRGCS阶段,生存率没有显着差异。两种类型的接受胃切除术的IV期患者的存活率均显着高于接受旁路或探索性手术的IV期患者。结论:在日本,UICC分类优于GRGCS分类胃癌。但是,UICC的第一阶段无需细分为IA和IB阶段,而IV阶段应根据所进行的手术进一步细分为IVA和IVB阶段:IVA,胃切除术和IVB,旁路或探索性手术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号