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Treatment and prognosis of early multiple gastric cancer
F Borie1, N Plaisant, B Millat
1Service Chirurgie A, Hôpital St Eloi, 34295, Montpellier, France. fborie@yahoo.com
Aim:
Early gastric cancer (EGC) may have a 5-year survival rate of over 90% following surgery. Early multifocal gastric cancer (EMGC) accounts for between 8.3 and 17% of all EGCs. A multicenter retrospective study is reported of prevalence, characteristics, prognosis and type of resection for EMGC patients.
Method:
333 patients with EGC were operated on, between January 1979 and December 1988, and followed to June 1996.
Results:
33 EGC patients had EMGC. There was no significant difference in clinico-pathological features between EGC and EMGC. 21 cases of EMGC underwent a subtotal gastrectomy and 12 underwent a total gastrectomy. Recurrences after subtotal gastrectomy were, respectively, 10 and 18% for EGC and EMGC patients (p=0.2). The cumulative 5 years specific survival rate for 298 EGC and 34 EMGC were 94 and 90%, respectively (p=0.9). Five-year survival rates after subtotal gastrectomy were 92 and 90% for EGC and EMGC patients, respectively (p=0.8).
Conclusion:
EGC and EMGC had the same clinico-pathological features and prognosis. A careful follow up of the stomach remnant is essential.