Zur Prognose des Magenkarzinoms

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Abstract
Between 1974 and 1981, laparotomies were performed on 233 patients with histologically proven gastric carcinoma. Lymph-node metastases were found in 72.6%, distant metastases in 14.2%. The condition was found to be inoperable in 18.9%, a palliative procedure was performed in 17.6%, a questionably curative operation in 33.5% and a curative one in 30.0%. Postoperative mortality was 15.9%, highest in case of inoperability and palliative operations. During the follow-up period of 5-13 years 137 patients (58.8%) died of metastases or recurrence, two (0.9%) of another malignancy and 30 (12.9%) of other illnesses. The five-year survival rate was 13.3%. There was no difference in prognosis between carcinoma in a residual stomach (after previous partial resection) and a previously unoperated one. Carcinoma of the cardia gave the worst results. No patient with an early cancer died of it.