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Titlebook: Management of Gastric Cancer; Paul H. Sugarbaker Book 1991 Kluwer Academic Publishers 1991 Staging.carcinoma.endoscopy.gastric cancer.path

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书目名称Management of Gastric Cancer
编辑Paul H. Sugarbaker
视频video
丛书名称Cancer Treatment and Research
图书封面Titlebook: Management of Gastric Cancer;  Paul H. Sugarbaker Book 1991 Kluwer Academic Publishers 1991 Staging.carcinoma.endoscopy.gastric cancer.path
描述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
出版日期Book 1991
关键词Staging; carcinoma; endoscopy; gastric cancer; pathology; radiology; screening; tumor; abdominal surgery
版次1
doihttps://doi.org/10.1007/978-1-4615-3882-0
isbn_softcover978-1-4613-6731-4
isbn_ebook978-1-4615-3882-0Series ISSN 0927-3042 Series E-ISSN 2509-8497
issn_series 0927-3042
copyrightKluwer Academic Publishers 1991
The information of publication is updating

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Induction chemotherapy using intraarterial infusion,ween 5 and 25% [1–8]. Gastrectomy for patients with minimal disease, as detected from mass screening programs, has achieved better results [9]. However, in North America, Europe, and Australasia, patients with minimal disease form a small proportion of the overall numbers of patients with gastric cancer when first diagnosed [10].
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Radiation therapy for gastric carcinoma,continues to be a major cause of death. Recently, adjuvant postoperative radiotherapy has been used in conjunction with chemotherapy to reduce local-regional failure in high-risk patients. Despite the use of modern megavoltage radiotherapy, normal tissue tolerance still limits the radiation dose that can be given safely.
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Staging of gastric cancer: clinical, surgical, and pathological,ribing the anatomic extent of a tumor and whether it has spread to adjacent or distant tissues. It is generally accepted that a solid tumor has its origin in a single focus and, as time elapses, enlarges, and at some time in its development it spreads by lymphatic or blood vessels or by direct extension into other tissues [2].
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Early postoperative intraperitoneal adriamycin as an adjuvant treatment for advanced gastric cancerthat survival is reduced and peritoneal seeding plus local recurrence rates are increased in patients who have serosal invasion [3–6]. These two clinical features — (1) lymph-node positivity and (2) serosal invasion — are the strongest prognostic variables with this disease.
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