日本消化器外科学会雑誌第39巻第1号
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2 Table1 linicalfindingsofsignet-ringcelcarcinomainourhospital ge ase (year) Sex Location Stage Morphology ur N H P * Histologicaldepthof invasion,ly,v Survivalafter operation(days) M M Rb T Rb Rb P S Ia Type1 unclear Type Type Type Type Type1 B n1 N1 n unclear n2 n n2 H H H H H H H P P P P P P P a2,ly1,v (noresection) si,ly2,v si (probelaparotomy) ai,ly,v2 ai,ly,v ss,ly,v Rb:rectum below peritonealreflection :cecum T:transversecolon S:sigmoidcolon P:analcanal ur:curability N:lymphnodemetastasis H:livermetastasis P * :peritonealdissemination Table2 haracteristicsofcolorectalcancerinourhospital requency (%) Sex(M:) (%) gegroup (~ 9:4~ 69:7yr~) (%) Meanage (yr) Weldiferentiatedadenocarcinoma Moderatelydiferentiatedadenocarcinoma 1,42(44.2) 1,447(4.7) 1,78:1,66 (62.6)(7.4) 17:2,66:68 (.8)(7.)(2.2) 7. 11(4.1) 7:6 (7.)(42.7) 9:86:6 (6.9)(6.6)(27.) (.4) 98:72 (7.6)(42.4) 16:18:46 (9.4)(6.)(27.1) 6.1 7(.2) 2: (28.6)(71.4) ::1 (14.) 4.7 Others 12(.4) Total,169(1.) Table Locationsofdiferenthistologicaltypesofcolorectalcancer T D S R+ P 127(4.) 1(9.9) 2(14.8) 1(14.) 21(7.6) 29(22.1) 24(14.2) 187(6.6) 18(1.7) 2(11.8) 1(14.) 127(4.) 7(.) (1.8) 77(27.) 17(1.) 22(1.) 1(14.) 1,48(49.6) 47(.9) 7(44.4) 4(7.1) :cecum :ascendingcolon T:transversecolon D:descendingcolon S:sigmoidcolon R:rectum P:analcanal
3 Table4 Morphologyofdiferenthistologicaltypesofcolorectalcancer Type Type1 Type2 Type Type4 Type 7(11.6) 6(.) 6(.9) 211(8.) 7(.8) 2(16.1) 2(.) 1,621(61.2) 49(4.8) 78(.) 477(18.) 8(1.7) 6(2.2) 4(66.7) 7(.2) 1(8.) 2(1.) 27(1.) 1(8.) 8(.2) Table Histologicaldepthofinvasionofdiferent histologicaltypesofresectedcolorectalcancer Histological classification sm mp ss se Diferentiated ,1 729 adenocarcinoma (1.1) (1.9) (4.7) (2.7) Poorly diferentiatedadenocarcinoma (.9) (.) Signet-ring cel carcinoma (2.) 6 (.6) si 186 (6.6) 7 (28.9) (41.4) (2.4) (8.8) (8.2) (16.4) 1 1 (2.) (2.) (6.)
4 Table6 Presenceoflymphnodemetastasis,vesselinvasion,synchronouslivermetastasis,andperitonealdisseminationofcolorectalcarcinomawithssormore n(+:-) ly(+:-) v(+:-) H(+:-) P(+:-) 1,1:1,6 (.2)(49.8) 1,471:416 (78.)(22.) 1,27:611 (66.4)(.6) 28:1,747 (1.8)(86.2) 99:1,928 (4.9)(9.1) 87:28 (7.7)(24.) 88:16 (84.6)(1.4) 8:19 (8.8)(19.2) 2:1 (16.)(8.7) 19:14 (1.4)(84.6) 8:66 (6.)(4.7) 111:2 (81.6)(18.4) 74: (7.4)(42.6) 11:14 (7.1)(92.9) 18:16 (11.7)(88.) :1 (8.)(16.7) : (1.) 2: (4.)(6.) :7 (1.) :4 (7.1) n:lymphnodemetastasis ly:lymphaticinvasion v:venousinvasion H:synchronouslivermetastasis P:synchronous peritonealdissemination Table7 Stageandcurabilityofdiferenthistologicaltypesofcolorectalcancerinourhospital I I Stage Ia urability B 61 (22.2) 897 (1.6) 64 (22.) 6 (1.8) 68 (12.9) 2,72 (84.1) 198 (7.) 22 (8.9) 6 (4.6) 26 (19.8) 2 (19.1) (2.2) 41 (1.) 77 (9.2) 19 (14.6) 4 (26.2) (.) 7 (.9) 4 (26.8) 1 (18.) (17.9) 126 (7.4) 17 (1.2) 24 (14.4) 1 (14.) 1 (14.) Table8 Paternsofrecurrenceafterresectionofdiferenthistologicaltypesofcolorectalcancer Hematogenous Local Peritoneum Lymphnode Others 142(48.) 1(4.) 8(2.) 8(28.) 9(1.) 7(17.9) 2(.) 1(1.6) 6(2.7) 18(46.2) 1(.1) 4(1.8) 2(.1) 1(2.) 22(7.) 4(1.) 1(2.)
5 ig.1 Survivalcurvesofdiferenthistologicaltypesofcolorectalcancer withstage I, inourhospital(kaplan-meiremethod)
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