CLINICOPATHOLOGICAL STUDY ON RESECTED GASTRIC CANCER WITH CANCER INVASION AT THE ORAL AND ANAL SURGICAL STUMP

During the fourteen years from January 1975 to December 1989, 61 patients underwent resection of gastric cancer with cancer cell invasion at the oral and anal surgical stump. Thirty-four of the 61 patients were non-curative operation because of metastasis to the liver, peritoneum and distant lymph nodes. Though the remaining 27 undergone radical resection, the operation was non-curative due to histological cancer cell invasion at the surgical stump of the specimen. Of the 27 patients, 14 have survived more than five years, and 7 died within five years. The surviving patients included not only stage III and stage IV but stage I and stage II. In contrast, the latter were all stage III and stage IV.The patients who underwent reoperation due to cancer invasion at the oral surgical stump have survived without recurrence.