• Department of General Surgery, The First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041;
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Objective  To investigate the cause of the positive cancer cell incisal margin in gastrectomy for gastric carcinoma.
Methods  Thirty-two cases with positive incisal margin in gastrectomy for gastric carcinoma from 1988-1993 in this hospital were retrospectively studied.
Results  The overall cancer cell positive rate (CCPR) was 7.5%, and that of radical and palliative resection were 5.5% and 12.6%, respectively (P<0.05). The CCPR of distal and proximal incisal margin were 5.9% and 13.0% respectively (P<0.05), which was related to the gross type, size of cancer, and the degree of differentiation and infiltration.
Conclusion  The CCPR is high in the infiltrating type, lesions larger than 5 cm in diameter and undifferentiated cancer. To prevent the incisal margin positive for cancer cell in gastrectomy, frozen biopsy should be done if possible.

Citation: HU Jiankun,CHEN Zhixin,CHEN Jiaping,et al.. CHARACTERISTICS AND PREVENTION OF INCISAL MARGIN POSITIVE FOR CANCER CELL IN GASTRECTOMY FOR GASTRIC CARCINOMA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(1): 37-39. doi: Copy