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Early gastric cancer.

G Belcastro1, M Ferri, L Chiavellati

  • 1V Clinica Chirurgica, Università La Sapienza, Roma.

The Italian Journal of Surgical Sciences
|January 1, 1988
PubMed
Summary
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Early Gastric Cancer (EGC) shows a significant survival difference compared to Advanced Gastric Cancer (AGC). This study found an 80% 5-year survival rate for EGC patients, highlighting its curability with early detection and surgery.

Area of Science:

  • Gastroenterology
  • Oncology
  • Surgical Oncology

Background:

  • Gastric cancer survival rates differ significantly between Early Gastric Cancer (EGC) and Advanced Gastric Cancer (AGC).
  • Optical fiber endoscopy has improved EGC diagnosis rates since the 1960s.
  • EGC presents distinct clinical and pathological characteristics compared to AGC.

Purpose of the Study:

  • To analyze the incidence, clinical presentation, and survival outcomes of Early Gastric Cancer (EGC) patients.
  • To compare EGC characteristics with those typically observed in Advanced Gastric Cancer (AGC).
  • To evaluate the effectiveness of surgical management for EGC.

Main Methods:

  • Retrospective analysis of 182 surgically treated gastric cancer patients.
  • Diagnosis of EGC confirmed endoscopically and histopathologically.

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  • Tumor staging based on the Japanese Research Society for Gastric Cancer criteria.
  • Histological classification using the Lauren classification.

    • Main Results:

    • 19 out of 182 patients (10.4%) were diagnosed with EGC.
    • Epigastric pain was the primary symptom; ulceration or flat tumors were common endoscopic findings.
    • No significant differences in tumor location or age distribution were observed between EGC and AGC.
    • Crude 5-year survival for EGC was 80%.

    Conclusions:

    • Early Gastric Cancer (EGC) demonstrates a high survival rate, emphasizing the importance of early diagnosis.
    • Surgical criteria for EGC are comparable to those for Advanced Gastric Cancer (AGC).
    • Further research into endoscopic detection and surgical techniques can improve gastric cancer outcomes.