| 特集名 | 腎不全における悪性腫瘍 | |
|---|---|---|
| 題名 | おもな癌腫の透析患者における治療成績 (1) 消化器系癌 -- 胃癌・大腸癌・肝癌を中心に | |
| 発刊年月 | 2001年 06月 | |
| 著者 | 金 昌雄 | 仁真会白鷺病院外科 |
| 【 要旨 】 | 透析患者の消化器系癌，とくに胃癌と大腸癌(結腸・直腸癌)の手術治療成績について，われわれの経験した症例に基づいて述べた．過去16年間に35症例の胃癌に対し手術を施行したが，25例(71％)が早期癌であり，10例(29％)が進行癌であった．これら症例の累積生存率をみると，早期癌の5生率は62％であり，進行癌の5生率は40％であった．しかし，透析患者では他病死例が多いので，術死および他病死を除いた累積生存率においては，早期癌の5生率は93％であり，進行癌の5生率は50％であった． 大腸癌手術症例13例中5例(38％)が早期癌で，8例(62％)が進行癌であった．これら症例の5生率はそれぞれ80％と25％であり，術死・他病死例を除いた5生率は，それぞれ100％および33％であった． |
|
| Theme | Malignancy in Chronic Renal Failure | |
|---|---|---|
| Title | Treatment results of main malignant tumors on dialysis patients -- Carcinoma of digestive system (gastric cancer, colorectal cancer and liver cancer) | |
| Author | Masao Kim | Department of Surgery, Jinshinkai Shirasagi Hospital |
| [ Summary ] | We examined the results of surgery for gastric and colorectal cancer on dialysis patients. Thirty-five patients were treated for gastric cancer over a 16 year period from 1985 to 2000. 25 patients (71%) had early cancers and 10 (29%) had advanced cancers. The five-year actuarial survival rate for early cancer was 62%, and that for advanced cancer was 40% Except for operative death and death due to other diseases, the five-year survival rate for early cancer was 93% and that for advanced cancer was 50%. Thirteen patients underwent colorectal cancer resection. Five patients (38%) had early cancers and eight patients (62%) had advanced cancer. The five year survival rates were 80% and 25% respectively. |
|