title: Surgical treatment of adenocarcinoma of the stomach in a community hospital.
abstract: The experience with the surgical treatment of adenocarcinoma of the stomach in a community hospital from 1970 to 1979 is presented. The single most important prognostic factor for survival is the extent of disease at the time of operation. Positive regional nodes or distant metastases are associated with a dismal survival regardless of treatment. Other variables such as histologic findings, tumor morphologic features or location did not affect survival in our series. Although fewer and somewhat less radical operations were performed by a large number of community surgeons, the results were comparable to those reported elsewhere. The results depended most strongly on the extent of disease at operation. Aside from a fortunate and unexplained decrease in the incidence of adenocarcinoma of the stomach in this country, the best hope for decreased mortality in the future lies with earlier detection at a surgically curable stage.
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D000368:Aged; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014922:Wisconsin