[Early stomach cancer. Do not miss it!].
It may be better to use the term of "superficial carcinoma" than "early gastric carcinoma". Out of 194 patients operated on for gastric carcinoma, 37 had a superficial carcinoma (19%). Seventeen had previously been treated for duodenal (n = 10) or gastric (n = 7) ulcer. Out of 23 barium meal examinations, 3 were normal. The macroscopic appearance at endoscopic examination was normal in 4 patients. In these cases the carcinoma was identified in biopsies. At laparotomy the gastric wall was normal in 16 patients. Gastric resection was subtotal (n = 28), total (n = 6), or partial (n = 1). The tumor was multifocal in 8 cases, and associated with intestinal metaplasia in 24 cases. The five-year actuarial survival rate was 77%. It is important to do not miss superficial carcinoma even in patient treated for peptic ulcer, and to perform biopsies even if endoscopic examination is normal. A subtotal gastrectomy may be performed with excellent results.
Huguier
M
M
Service de Chirurgie Digestive, Hôpital Tenon, Paris.
Msika
S
S
Lacaine
F
F
Houry
S
S
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011379:Prognosis; D011859:Radiography; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery
Le cancer superficiel de l'estomac. Ne le manquez pas!.