Survival following surgical treatment of gastric cancer. A challenge for the community endoscopist.
The management of 124 patient diagnosed with adenocarcinoma of the stomach from 1971 to 1990 was reviewed. Early gastric cancer increased from 0% to 9% of the cases between the first and last quarter of the study. Proximal gastric cancer similarly increased from 8% in the first decade to 29% of all cases diagnosed during the second decade of the study. Follow-up information was available for all patients. Nineteen patients (15%) had no operation and two survived more than 2 years. Twelve patients had a surgical biopsy only and four had a palliative bypass; none survived 2 years. Eighty-six patients (69%) had a surgical resection with a 30-day operative mortality of 8% and a 5-year survival of 17%. Prognosis was significantly better for patients with T-1 and T-2 tumors and for those with distal cancers. Patients with early gastric cancer had 67% 5-year survival. These data should encourage efforts to improve the diagnosis of early gastric cancer.
Cohen
M M
MM
Department of Surgery, Rose Medical Center, Denver, CO 80220.
Zoeter
M A
MA
Loar
C
C
D000230:Adenocarcinoma / Q000401:mortality* / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D001706:Biopsy; D003154:Community Medicine; D016629:Esophagectomy; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010166:Palliative Care; D011379:Prognosis; D011446:Prospective Studies; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate