Early gastric carcinoma in young patients.
We retrospectively reviewed the hospital records of patients with early gastric carcinoma to compare the clinicopathologic findings in young (age < 40 years, n = 72) and older (age > 70 years, n = 51) patients during the period 1991-2000. Overall survival was the main outcome measure. There was a significant difference in depth of invasion; carcinoma invaded the mucosal layer in 65.3% of the young patients and in 39.2% of the older patients (P < 0.05). The 5-year survival rates of young and older patients did not differ statistically (97.2% versus 94.5%; P = 0.254). The prognosis of young patients with early gastric carcinoma was similar to that of older patients with early gastric carcinoma, and the belief that the prognosis of gastric carcinoma in young patients is poorer than in aged patients should be abandoned. Early detection is most important to achieve the good prognosis.
Park
Young Kyu
YK
Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Medical School, Dongku, Gwangju, Korea.
Kim
Jung Chul
JC
Koh
Yang Suk
YS
Joo
Jae Kyoon
JK
Ryu
Seong Yeob
SY
Kim
Young Jin
YJ
Kim
Shin Kon
SK
Kim
Dong Yi
DY
D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology*; D015996:Survival Rate