Ultra Structure Of Peritoneum At Electronic Microscopy In Control Subjects And Patients With Gastric Cancer
Study Details
Study Description
Brief Summary
Peritoneal metastases appear in a great proportion of patients affected by gastric carcinoma. Involved mechanisms are poorly understood though experimentally it has been demonstrated that neoplastic cells exfoliated from primary tumor can only implant and proliferate in areas of damaged peritoneum. Objectives: to study ultra-structure of peritoneal surface by electronic microscopy in control subjects and in patients with early or locally advanced gastric cancer looking for spontaneous changes in peritoneal surface not related with surgical injury.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
18 out of 32 cases were eligible for analysis. Four patients operated on for benign diseases served as control and 14 patients with operable local gastric adenocarcinoma (4 mucosa/submucosa/muscular y 10 serosa lesions) were studied. At the beginning of surgery, a 2 x 2 cm. sample from macroscopically normal visceral peritoneum at mesenterium root was carefully obtained, washed with saline and fixed in glutaraldehyde solution. Besides a sample of peritoneal washing fluid was studied to exclude patients with free cancer cells. Peritoneal tissue was fixed during 24 hours and then all samples were evaluated by electronic microscope.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Gastric cancer patients with operable local gastric adenocarcinoma were studied |
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Control group patients operated on for benign diseases served as controls, randomly selected among patients with chronic gastro-esophageal reflux disease who were considered good candidates for antireflux surgery and properly matched in sex and age to study group |
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients with operable local gastric adenocarcinoma
Exclusion Criteria:
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previous abdominal surgery
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previous open or blunt abdominal trauma
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history of inflammatory bowel disease or Typhoid Fever, Gallstone disease, chemotherapy or radiotherapy, or any other abdominal condition that could alter peritoneal integrity.
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All other gastric malignancies such as lymphomas, GIST, carcinoids
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Department of Surgery, Clinical Hospital, University of Chile | Santiago | Region Metropolitana | Chile |
Sponsors and Collaborators
- University of Chile
Investigators
- Principal Investigator: Patricio Burdiles, MD, Department of Surgery, Clinical Hospital, University of Chile
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- OAIC 043/02