17 cases of local recurrence of gastric cancer surgery again


Resection. Clinical Surgery, 1999,6:321.4 SchildbergFW, StefanPiltzGM, KoebeHG. Surgicaltreatmentoftumormetastased: generalconsiderationandresults. JpnJSurg, 1995,25 (1): 1.5 in Wang, Wang Jianzhong,moncler paris, Wu Zhihao,franklin marshall outlet, and so on. Gastric cancer after surgical treatment of pancreatic metastasis in 5 cases reported. Practical Medicine, 2001,17 (2): 139. Prostate sporadic cancer 16 cases reported Chenshi Xi Qiu Kai Jin Chen and Zhang Jianhua Chen Xiaoyang our hospital in April 1982 - December 2002 were treated with benign prostatic hyperplasia (BPH) 372 patients underwent open prostatectomy 237 cases, pathological diagnosis of prostate cancer 9 example, TvP surgery 135 cases,canada goose jackets, pathological diagnosis of prostate cancer in 7 cases, sporadic cancer (IDPC) incidence rate of 4.3%. Are as follows. 1 Materials and Methods 1.1 sporadic clinical data of prostate cancer in this group, 16 patients aged 60 to 78 years. Digital rectal examination of prostate hyperplasia in 3 cases I,diesel jeans outlet, Ⅱ in 8 cases,diesel online, Ⅲ in 5 cases. Varying degrees of dysuria, urinary retention complicated by repeated in 5 cases, gross hematuria in 3 cases, were prompted by abdominal B-BPH. Preoperative serum prostate specific antigen (PSA) tests were <lOng / ~. Chest X-ray bone metastases were not found. Pathology report adenocarcinoma in 15 cases, including poorly differentiated in 3 cases, well differentiated, 12 cases of transitional cell carcinoma. According to Jewett staging: Al 13 cases, A2 3 cases. 1.2 Treatment of adenocarcinoma 15 cases with bilateral orchiectomy, 9 cases supplemented by flutamide treatment, 1 case of low-dose estrogen therapy. Transitional cell carcinoma, surgery without any treatment. 1.3 Results The group of 16 patients, 13 cases were followed up, 3 patients lost to follow. Up from 6 to 89 months, an average of 25.5 months. Poorly differentiated adenocarcinoma without plus flutamide treatment, 2 years after recurrence, difficulty urinating, re-line TvP treatment, died of extensive metastasis after six months, the other 12 cases of tumor-free survival. 2 Discussion incidental prostate cancer is benign prostate disease after resection of the prostate specimens occasionally found in prostate cancer in recent years, the incidence rate showed a gradual upward trend. The incidence in the United States IDPC up to 10% 20%], 5.3% in Japan, China and other reports Marvin Hong 4.9%. , This group was 4.3%, and the National Author: 317200 Zhejiang Tiantai County People's Hospital reported in urology consistent. The incidence of incidental prostate cancer because of different regions and different races have differences, but also methods and surgical and pathological examination of the way. If the entire sample interval lmm for serial sectioning and TvP tissue fragments do all specimens for histological examination can improve the chance of prostate cancer detection rate. Benign prostatic hyperplasia and prostate cancer in two different types of diseases. From the histological point of view, no direct correlation between the two. Prostate cancer mostly occurs in the prostate peripheral zone, the cell structure of malignant change in quality, and benign prostatic hyperplasia occurred in the prostate transition zone, no change in cell structure, the two can co-exist together and histological changes, but prostatic hyperplasia may be atypical is a sporadic cancer precancerous condition. , Both preoperative differential diagnosis more difficult. Serum PSA in the diagnosis of prostate cancer have a higher sensitivity, when PSA <lOng / ML when the diagnosis is difficult, and sporadic prostate cancer, PSA is often <lOng / ML, it is difficult to confirm the diagnosis before surgery, the diagnosis still depends on prostate biopsy. Hoage and other reports from transrectal ultrasound guided prostate apex, middle and base of any biopsy taken 6 points, throughout the interval of 1.0cm, can increase the chance of prostate cancer detection rate. Incidental prostate cancer treatment, is still controversial, some scholars have reported that patients diagnosed with sporadic cancer, 15% to 40% into clinical cancer, Rogck reported Al period 16% of sporadic cancers may deteriorate]. Most scholars believe that the A-period sporadic well-differentiated cancer cells, clinical prognosis is good, can not do any treatment, can be observed up close. A2 phase of poorly differentiated carcinoma may be sporadic based on age, general condition and other selected radical prostatectomy and bilateral orchiectomy and endocrine therapy or radiotherapy. The group of 15 cases of adenocarcinoma underwent bilateral orchiectomy, 9 plus service flutamide 250mg, 3 times / d. One case plus service diethylstilbestrol 2mg, 1 times / d. 12 cases were followed up, except one case of poorly differentiated adenoma A2 period, no additional service flutamide, 2 years after recurrence, difficulty urinating, again TvP treatment, the symptoms has not been