title: [Early stomach cancer: new diagnostic and therapeutic aspects].
abstract: Gastroscopy is the diagnostic measure of choice in early recognition of gastric carcinoma, offering an accuracy rate of 96-99. However, this goal can only be achieved when biopsies are taken with forceps and snare from all circumscribed lesions which may hide a carcinoma. The common association with hyperplasiogenic polyps (15/86), adenoma and borderline lesion (7/86) and synchronous gastric carcinoma (8/86) request a subtle preoperative diagnosis if one does not perform gastrectomy in principle. Endoscopic resection (5/86) or local excision (6/86) should be debated in carcinomas located close to the cardia, and in high-risk patients. 5-year-survival rates of the "Erlangen early gastric cancer registry", are in accordance with the excellent results reported in the Japanese literature.
mesh_terms: D000236:Adenoma / Q000473:pathology; D001706:Biopsy; D005743:Gastrectomy; D006801:Humans; D009367:Neoplasm Staging; D010336:Pathology; D011127:Polyps; D011230:Precancerous Conditions / Q000473:pathology; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology; D013276:Stomach Ulcer / Q000473:pathology
vernacular_title: Das Magenfrühkarzinom: Neue diagnostische und therapeutische Erkenntnisse.