[Is the introduction and realization of the Japanese system of staging and surgical treatment for stomach cancer possible in Spain?].
Discrepancies in the five-year survival rates after treatment of gastric cancer between the West and the East have been attributed to differences in the biological behavior of the tumor or in the incidence of early cancer. Alternatively, the better staging system and the national standardization of the diagnosis and treatment used in the East may explain their findings. Poor definition of stages and curability, scarce interest in standardization of techniques, and lack of basic information in many pathological reports are frequent in Western countries. Between May 1988 and April 1991 a prospective study on a consecutive series of 89 patients diagnosed of gastric carcinoma in the Hospital "Príncipe de Asturias" using the directions given by the Japanese Research Society for Gastric Cancer has been made. Our results support the use of the Japanese system in a General Hospital of our country and confirm its accuracy in defining the type of surgery performed, the later being its main advantage over the TNM staging system.
Gutiérrez Calvo
A
A
Servicio de Cirugía General y Digestivo, Hospital Príncipe de Asturias, Universidad de Alcalá de Henares, Madrid.
Martín Duce
A
A
Díez Alonso
M
M
Noguerales Fraguas
F
F
Enríquez Navascues
J M
JM
Granell Vicent
J
J
Lomas Espadas
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D005260:Female; D005743:Gastrectomy / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D008197:Lymph Node Excision / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011446:Prospective Studies; D012074:Remission Induction; D012955:Societies, Medical; D013030:Spain / Q000453:epidemiology; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D016019:Survival Analysis
Es posible la implantación y realización, en nuestro país, del sistema de estadiaje y tratamiento quirúrgico japonés para el cáncer de estómago?