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開腹時肝転移胃癌138例を検索対象とした.病巣占居部ではA領域が多く, 肉眼形態では1型2型の限局型17例中13例 (76.5%) が, H2, H3症例で, 限局型に肝転移高度例が多かった.組織所見では低分化型が41例 (58.6%) で, そのうち髄様性増殖を示すものが29例 (70.7%) と高率であった.また, 分化型では乳頭腺癌像を示すものが多かった.肝転移胃癌細胞核DNAパターンはII, III型を示し, 4C以上のpolyploid cell出現頻度は50.7%と非肝転移胃癌に比べ差がみられた.H1例の胃切除群の予後は非切除群に比べ良好であったが, H2・H3症例では両者間に差はみられなかった.

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Studies on gastric carcinoma with liver metastasis. With special reference to poorly differentiated adenocarcinoma of the medullary type and DNA polyploid patterns of gastric carcinoma.