[Value of consistent after care in stomach cancer].

Abstract:

:This study analyses the efficacy of a consistent, strict follow-up programme in the management of patients with gastric cancer. Between 1978 and 1986 671 patients were treated, of whom 361 (54%) had a radical operation. The data were fed into an electronic data base and patients were invited to attend the follow-up investigations. The drop-out rate was 21%. Recurrence was detected in 177 cases, 25% in the liver, 25% as carcinosis, 21% in lymph nodes, 15% locally and 14% in other localizations. 78% of the recurrences were seen two years postoperatively and 27% were asymptomatic; 10% underwent radical operation, 27% palliative operation and 63% conservative treatment. Survival rates after 3 and 5 years were 73% and 62% in patients without recurrence and 21% and 8% with recurrence, respectively (p = 0.0 Breslow and Mantel test). The survival rate 2 years after treatment of recurrence was 37% after radical surgery and 0% after palliative operations or conservative treatment (p less than 0.06 Breslow and p less than 0.002 Mantel test). Furthermore, a tight follow-up programme enables control of surgical quality and accurate follow-up during clinical trials, whilst the opportunity to advise patients after operation is an important aspect.

journal_name

Wien Klin Wochenschr

authors

Wenzl E,Feil W,Schiessel R

subject

Has Abstract

pub_date

1987-06-12 00:00:00

pages

420-3

issue

12

eissn

0043-5325

issn

1613-7671

journal_volume

99

pub_type

杂志文章
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  • [Neuroimmunologic parameters in therapy refractory epilepsy in children].

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  • [The metabolism of hydrocortisone, prednisolone and fluocortolone (author's transl)].

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  • Recent developments in receptor binding radiopharmaceuticals.

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  • [Disseminated intravascular coagulation (DIG) with massive hyperfibrinolysis in metastatic uterine cancer. Observations on the effects on the coagulopathy of various treatments (a case report)].

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  • New technologies for vaccines.

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    authors: Dorner F,Eibl J,Barrett PN

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  • [Sentinel node biopsy in breast cancer: techniques and indications].

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  • [131 I accumulation in the thyroid gland of the rat following balneotherapy iodine dose administration].

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    pub_type: 杂志文章

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