论文部分内容阅读
进行期胃癌即使做根治手术复发的也较多,复发形式以腹膜复发为主。当癌浸出浆膜面时,脱落的癌细胞在腹膜表面着床,增殖而形成播种性的转移结节。作者对280例进行期胃癌施行术中癌细胞冲洗,即开腹后用生理盐水50ml 冲洗Douglas 腔,将冲洗液收集、离心沉淀后,进行细胞学检查。结果如下:1.癌的腹膜播种程度(P)和腹腔内游离癌细胞:P_0(无腹膜转移)时,腹腔细胞诊(+)为20%;P_1(与癌病灶接近的腹膜有转移)为58%;P_2(远处腹膜有少数转移)为95%;;P_3(远处腹膜有多数转移)为95%。2.癌浸润深度与腹腔内游离癌细胞:P m 癌(浸
Gastric cancer undergoes radical surgery even if it undergoes radical recurrence. The recurrence pattern is mainly peritoneal recurrence. When the cancer leaches out of the serosal surface, the shed cancer cells engraft on the peritoneal surface and proliferate to form somatic metastatic nodules. The author of 280 cases of advanced gastric cancer in the implementation of intraoperative cancer cell lavage, that is, after laparotomy with normal saline 50ml rinse Douglas cavity, the rinse collected, after centrifugation, cytology. The results were as follows: 1. Peritoneal necrosis of cancer (P) and intraperitoneal free cancer cells: P_0 (no peritoneal metastasis), peritoneal cell diagnosis (+) was 20%; P_1 (metastasis in the peritoneum close to the cancerous lesion) was 58%; P 2 (a few metastases in the distal peritoneum) was 95%; P 3 (most metastasis in the distant peritoneum) was 95%. 2. Infiltration depth and intra-abdominal free cancer cells: P m cancer (dipping