Early Gastric Cancer
- 1 August 1986
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 204 (2), 103-107
- https://doi.org/10.1097/00000658-198608000-00001
Abstract
From 1963 through 1983, 327 patients underwent resection for gastric adenocarcinoma at Charity Hospital in New Orleans. Fifteen lesions (4.6%) were early gastric carcinoma (limited to the mucosa or submucosa regardless of nodal metastases). These lesions were in eight men and seven women (14 blacks and 1 white), with a mean age of 65.3 years (range: 52–80 years). Upper gastrointestinal series were obtained in 13 (6 suspicious, 2 inconclusive, and 5 normal). By comparison, endoscopy on 11 patients provided a tissue diagnosis in ten patients (90.9%). Surgical procedures ranged from total gastrectomy to a local excision, and every specimen was free of lymph node metastases. Macroscopically, there were six Type I, four Type IIb, one Type IIc, three Type III, and one with two separate lesions (IIa and IIb); microscopically, ten were intramucosal and five had submucosal invasion. Five-year survival calculated by the actuarial method was 64.2% (observed) and 100% (adjusted). This compares with 18.8% (observed) for all 327 patients. Six of the patients with early gastric cancer are alive (range: 16–219 months). The nine patients who died had no evidence of recurrent disease at the time of death. Surgical resection of early gastric carcinoma in the United States offers an excellent prognosis similar to the Japanese experience. Increased detection of gastric carcinoma in its curable stages may be achieved through early endoscopie investigation of symptomatic patients.Keywords
This publication has 19 references indexed in Scilit:
- Histopathology of gastric dysplasias Correlations with gastric juice chemistryThe American Journal of Surgical Pathology, 1979
- The endoscopic diagnosis of early gastric cancerGastrointestinal Endoscopy, 1979
- EARLY GASTRIC CANCER - REPORT OF 25 CASES1979
- Gastrointestinal cancer: Surgical survey of abdominal tragedyThe American Journal of Surgery, 1978
- Comparison of "early gastric cancer" in Britain and Japan.Gut, 1978
- Outcome of gastric carcinoma detected by gastric mass survey in Japan.Gut, 1977
- The diagnosis of early gastric cancer: A survey of experience in the United States*Gastrointestinal Endoscopy, 1976
- Biopsy and Cytology in the Diagnosis of Early Gastric Cancer: 10-Year Experience with Direct Vision Techniques at a Japanese InstitutionEndoscopy, 1976
- Gastric cancer: survival rates with special reference to "early gastric cancer".1975
- Carcinoma of the StomachAnnals of Surgery, 1964