Clinicopathologic study of gastric carcinoma with duodenal invasion.

D. S. Perng, C. M. Jan, W. M. Wang, L. T. Chen, C. S. Liu, T. J. Huang, C. Y. Chen

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5 Citations (Scopus)

Abstract

Clinicopathologic features of 319 patients who underwent gastrectomy for adenocarcinoma of stomach were studied whether disease involved duodenum or not. Thirty-eight patients (11.9%) had duodenum invasion. Gastric carcinoma with duodenal invasion was most often Borrmann III or Borrmann IV (65.8%) type, with pylorous invasion by endoscopy (39.5%), large tumor size (73.7% > or = 5cm), lymph node metastasis (78.9%), serosal invasion (97.4%) and the incidence of the resection line not being free was high (13.2%). Duodenal invasion was most often (55.3%) direct through the deep layer or through lymphatics or venules. We need to pay more attention to finding duodenum invasion. More than 3 cm width of duodenal resection is recommended if duodenum invasion is suspected.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalThe Kaohsiung journal of medical sciences
Volume12
Issue number8
Publication statusPublished - 1996 Aug

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Perng, D. S., Jan, C. M., Wang, W. M., Chen, L. T., Liu, C. S., Huang, T. J., & Chen, C. Y. (1996). Clinicopathologic study of gastric carcinoma with duodenal invasion. The Kaohsiung journal of medical sciences, 12(8), 461-465.