Surgery in primary XXXX : impact on clinical staging and long-term survival.

@entity1 @entity204 @entity5 @entity6595
This study analyzes the value of surgery in the treatment, staging and long-term survival of 17 @entity1 affected with primary @entity6595 . In 7 @entity1 the @entity5 was localized to the lower third of the stomach, in three to the middle third, in two to the upper third, while in 5 @entity1 there was involvement of the entire stomach. @entity1 were classified according to the Ann-Arbor classification. Nine @entity1 were stage Ie, five stage Ile, and three stage IVe. A partial gastrectomy was carried out in ten @entity1 and total gastrectomy in 7. In all cases surgical excision of the @entity6595 was performed together with intraoperative staging including bilateral hepatic biopsies, and exploration of all abdominal lymph nodes. Two @entity204 occurred among the 7 @entity1 who underwent total gastrectomy but no major complications were observed in the remaining 5 @entity1 . No @entity204 occurred among the 10 @entity1 who underwent partial gastrectomy, but in one case an acute complication developed. Staging laparotomy permitted the correction of clinical staging, and showed that three cases were understaged and one overstaged. All @entity1 received adjuvant chemio-radiotherapy. All but one @entity1 are currently alive, well and free of disease. Survival was correlated significantly with the stage of the disease and extent of gastric involvement, but there was no correlation between survival, histological grade, and the type of gastrectomy performed.
