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Gastric Cancer in History: A Perspective Interdisciplinary Study
Skender Topi1,2, Luigi Santacroce3,4, Lucrezia Bottalico4
1Department of Clinical Disciplines, School of Technical Medical Sciences, University of Elbasan "A. Xhuvani", 3001 Elbasan, Albania.
Gastric cancer, a major global health concern, has evolved from ancient observations to modern understanding. Discoveries like Helicobacter pylori have significantly improved treatment outcomes for this deadly disease.
Area of Science:
- Gastroenterology
- Oncology
- Medical History
Background:
- Gastric adenocarcinoma is the 4th most common cancer and 2nd leading cause of cancer death globally.
- Understanding its pathogenic mechanisms is recent and continually evolving.
Purpose of the Study:
- To investigate the historical understanding of gastric cancer's physiopathology.
- To trace the evolution of knowledge in gastroenterological, pharmacological, and surgical fields.
- To define how gastric cancer became a more curable disease over time.
Main Methods:
- Examined historical knowledge of gastric cancer from ancient civilizations to modern times.
- Assessed understanding based on visual analysis, progressing to histological and pathophysiological examination.
- Reviewed advancements in gastroenterology, pharmacology, and surgery related to gastric cancer.
Main Results:
- Ancient civilizations recognized cancer but attributed causes to environmental factors and supernatural influences.
- The Renaissance spurred discoveries through autopsies and endoscopy, improving visual analysis.
- Key advancements include the first gastric surgery (1879) and the discovery of Helicobacter pylori's role in peptic ulcer disease and gastric lymphoma.
Conclusions:
- Gastric cancer has ancient origins, with evolving etiological hypotheses influencing therapy.
- 20th-century scientific progress elucidated causes, notably the role of Helicobacter pylori.
- Current research explores other microorganisms and probiotic modulation in gastric cancer physiopathology.
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