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[Early stomach carcinoma--pathologic-anatomic findings and prognosis]
N Bösing1, P R Verreet, C Ohmann
1Klinik für Allgemein- und Unfallchirurgie, Heinrich-Heine-Universität, Düsseldorf.
Background:
The therapy for early gastric cancer (endoscopy, gastric resection, D1/2 dissection) is controversial.
Materials And Methods:
In a retrospective study (4/86-12/95) we analyzed the prognosis of 57 early gastric cancer patients with respect to pathological findings and surgical therapy.
Results:
The R0 resection rate was 100%. In 7% multifocal tumor growth was seen. The 5-year survival rate was 70%. LN-metastases were found in 12% of all cases, more often in pT1b than in pT1 a tumors (17 vs 9%) and more often in large carcinomas than in small carcinomas (> 1000 mm2: 27%; < 300 mm2: 0%). Long-term survival was significantly better in pN0 patients than in patients with LN metastasis (P = 0.020).
Conclusion:
Prognosis of early gastric cancer after curative resection is good.