Early gastric cancer.
A clear difference in survival among the patients affected by gastric cancer has been observed worldwide between Early Gastric Cancer (EGC) and Advanced Gastric Cancer (AGC). Optical fiber endoscopy has allowed a sharp increase in the number of diagnoses of EGC since the sixties. Among 182 our patients operated on, 19 [10.4%] had an EGC. A difference in incidence was found between males and females, while no difference was found in the age distribution. The main symptom was epigastric pain; EGCS common findings were ulceration or a flat tumor. Surgical procedures were carried out with the same criteria used for AGC. No difference was found in the tumor location. Local spread was studied according to the Japanese Research Society for Gastric Cancer, while histological type was classified according to Lauren classification. Crude 5-year survival was 80% (8 out of 10), with a mean of 76.8 +/- 13 (SEM) months.
Belcastro
G
G
V Clinica Chirurgica, Università La Sapienza, Roma.
Ferri
M
M
Chiavellati
L
L
Nicolanti
V
V
Schillaci
A
A
D005260:Female; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain; D010437:Peptic Ulcer / Q000150:complications; D011379:Prognosis; D011706:Pyloric Antrum / Q000601:surgery; D011708:Pylorus / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery