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[Superficial gastric carcinoma. Clinical analysis]
Summary
Superficial gastric cancer (CGS) diagnosis is increasing with routine endoscopy. Endoscopic biopsy is 100% effective for diagnosing CGS, with high survival rates post-treatment.
Area of Science:
- Gastroenterology
- Oncology
- Endoscopy
Context:
- Superficial gastric cancer (CGS) incidence is significantly lower in our region compared to Japan.
- Global gastric cancer incidence is declining, yet CGS diagnoses are rising due to increased endoscopy use.
- Between 1976-1986, CGS diagnoses rose from 2 to 23 cases in our service.
Purpose:
- To report the increasing incidence of CGS in our environment.
- To analyze the characteristics, diagnosis, and treatment outcomes of CGS.
- To evaluate the diagnostic efficacy of endoscopic biopsy for CGS.
Summary:
- A study identified 23 CGS cases between 1982-1986, representing 0.37% of endoscopies.
- Lesions were predominantly in the antrum (60.8%), with ulcerative syndrome as the main symptom (47.3%).
- Endoscopic biopsy achieved 100% diagnostic accuracy for CGS, requiring an average of 1.8 procedures.
Impact:
- The findings highlight a growing trend of CGS detection in routine endoscopy.
- Endoscopic biopsy is confirmed as a highly effective diagnostic tool for CGS.
- High survival rates (91.3%) were observed following surgical treatment for CGS.