A clinical study of gastric cancer cases in Mie prefecture.

VernacularTitle:三重県中南部農村における胃癌の臨床医学的研究
Author: Yoshihiro OKABAYASHI ; Takeshi SHIMIZU ; Yoshiyuki ANDO ; Seiho NISHIDA ; Jun KITAMURA ; Masataka OTA ; Toshiya SASAKI
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 1990;39(4):921-926
CountryJapan
Language:Japanese
Abstract: Between September 1972 and December 1987, 808 gastric cancer patients were treated at our hospital. The male/female ratio was 1.7. Gastric resection was performed on 88% of the patients, while curative resection was performed on 59.2%. The operative mortarity rate was 1.8%.
In patients undergoing surgery, the cumulative 5-year survival rates according to stage were 96.4% for stage 1, 68.6% for stage 2, 48.7% for stage 3 and 4.5% for stage 4.
With the spread of a mass screening, many cases of early gastric cancer have been detected recently. However, the incidence of advance cancer increased with age. This suggests the necessity of encouraging the aged to participate in the mass screening. Though gastrectomy is safety procedure of encouraging the aged to participate in the mass screening. Though gastrectomy is safety procedure in old patients over 75 years of age, its indications should be evaluated taking into consideration the quality of the patient's life.