[Critical evaluation of a decade experience with early gastric cancer]

The evaluation of early gastric cancer in the Central Hospital of IVSS "Miguel Pérez Carreño" of the urban area shows a detectability rate of 5.03% from gastric carcinoma total cases. Depressed macroscopic type and differentiate microscopic type are the most frequent. Predominant location is antrum. Early Gastric Cancer with elevated component, differentiate papillar type, submucosal invasion and with positive lymph node must be operated with very carefully and systematic lymph node dissection, depending on the location and the size of the primary tumor, and also post-operative adjuvant chemotherapy is likely to be necessary as well, to achieve diminishing the recurrence and mortality rates. Its our duty look for a better team work and methodology in the detection of early gastric cancer to obtain more superficial and smaller lesions. So there fore another therapeutical alternatives such as Endoscopical Mucosal Resection and Laparoscopic Wedge Resection could take a place in the future.