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D2.5 dissection for gastric carcinoma.

Vijay P Khatri1, Harold O Douglass

  • 1Division of Surgical Oncology, University of California, Davis, Cancer Center, Sacramento, USA. vijay.khatri@ucdmc.ucdavis.edu

Archives of Surgery (Chicago, Ill. : 1960)
|June 16, 2004
PubMed
Summary

Gastric cancer is a leading cause of cancer death globally. In the US, gastric carcinoma incidence and mortality rates have significantly declined since 1930, though it remains a significant health concern.

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Area of Science:

  • Oncology
  • Epidemiology

Background:

  • Gastric cancer is a major global health issue, ranking second to lung cancer in mortality with 500,000 annual deaths.
  • The incidence of gastric carcinoma in the United States has shown a consistent decline since 1930.

Purpose of the Study:

  • To analyze the historical trends in gastric carcinoma incidence and mortality in the United States.
  • To provide updated statistics on gastric cancer cases and deaths in the US.

Main Methods:

  • Retrospective analysis of epidemiological data.
  • Examination of mortality rates from 1930 to 1994 for white males and 1955 to 1985 for nonwhite males.
  • Inclusion of estimated new cases and deaths for 2002.

Main Results:

  • Gastric carcinoma incidence in the US has been steadily decreasing since 1930, plateauing in the 1980-1990 decade.
  • Mortality rates for white males decreased from approximately 40 per 100,000 in 1930 to 5.4 per 100,000 in 1994.
  • Mortality rates for nonwhite males also decreased, from 23.7 per 100,000 in 1955 to 12 per 100,000 in 1985.
  • An estimated 21,600 new cases and 12,400 deaths were attributed to gastric carcinoma in the US in 2002.

Conclusions:

  • Gastric cancer mortality and incidence have significantly decreased in the United States over several decades.
  • Despite the decline, gastric carcinoma continues to represent a substantial cause of cancer-related mortality in the US.

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