Management of Gastric Cancer
Paul H. Sugarbaker
Springer US, Oct 31, 1991 - Medical - 387 pages
Gastric cancer has been one of the great malignant scourges affecting man kind for as long as medical records have been kept. Until operative resection pioneered by Bilroth and others became available, no effective treatment was feasible and death from cancer was virtually inevitable. Even with resection by total gastrectomy, the chances of tumor eradication remained small. Over recent years, however, the situation has been changing. Some changes have resulted from better understanding of the disease, early detec tion, and better management techniques with applied clinical research, but the reasons for other changes are poorly understood. For example, the incidence of gastric cancer is decreasing, especially in westernized societies, where it has fallen from one of the most common cancers to no longer being in the top five causes of cancer death. Still it remains the number one killer of adult males in Japan and Korea. Whether the reduced incidence in western societies is a result of dietary changes or methods of food preservation, or some other reason, is as yet uncertain. Improvements in outcome have been reported from mass screening and early detection; more refined techniques of establishing early diagnosis, tumor type, and tumor extent; more radical surgical resection; and resection at earlier stages of disease.
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Natural history of surgically treated gastric cancer
Pathology and cytology of gastric cancer
Rationale for the intraperitoneal approach to surgical adjuvant
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5-fluorouracil 5-year survival abdominal adriamycin advanced gastric cancer anastomosis biopsy cardia celiac axis classification clinical colon combined cytology diagnosis disease distal dose drug duodenum early cancer early gastric cancer early postoperative endoscopic endoscopists esophagectomy esophagus evaluation exeresis failure Figure gastrectomy gastric adenocarcinoma gastric cancer patients gastric carcinoma gastric resection gastroepiploic gastrointestinal hepatic artery hepatoduodenal ligament histologic improved infiltration intestinal intraperitoneal chemotherapy invasion ISBN Japanese jejunal left gastric artery lesions leucovorin ligament liver lymph node dissection lymph node metastases lymphadenectomy lymphatic malignant MANAGEMENT OF GASTRIC metastases mitomycin mortality mucosa nodes in location Oncology operative palliative pancreas pathological patients with gastric peritoneal preoperative primary tumor prognosis proximal radiation radiotherapy recurrence regimen regional serosal specimens spleen splenic artery staging stomach cancer subtotal gastrectomy Sugarbaker surface Surg surgeons surgery surgical treatment Table technique therapy tissue total gastrectomy toxicity treated treatment of gastric trials tumor tumor cells ulcer vein