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Authors' response: Reply from Mr P. J. Guillou et al.

✍ Scribed by P. J. Guillou; E. J. Will; A. M. Davison; G. R. Giles

Publisher: John Wiley and Sons
Year: 1985
Tongue: English
Weight: 149 KB
Volume: 72
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800720343

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✦ Synopsis

Resectability of an advanced gastric cancer depends, to a large extent, on the philosophy of the individual surgeon. We do not suggest that CT evidence of direct invasion of a single organ indicates unresectability. Our findings did, however, show that when the preoperative CT scan demonstrated a tumour of 2 8 cm size and evidence of invasion of three organs the tumour could not be resected.

We reiterate that we do not recommend CT for every patient with gastric cancer. Our use ofthis investigation is in poor risk surgical cases, without obstructive symptoms, in whom there is doubt as to the value of surgery. CT should be used in context with the clinical state of the patient. As with so many other investigations its value will depend on local experience and clinical policy.

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