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Diagnosis

  • Chenggong Yu
  • Guifang Xu
  • Qin Huang
  • Tingshan Lin
  • Edward Lew
Chapter

Abstract

Patients with gastric cardiac cancer are usually asymptomatic, especially at the early stage. The misdiagnosis rate was reported to be over 40% because of the lack of appropriate evaluation. Since upper endoscopy with biopsies remains the most important diagnostic tool for discovery of this cancer, it is crucial for endoscopists to perform a systematic thorough examination with biopsies. Once diagnosed pathologically, the patient with this cancer needs to be worked up for clinical staging, especially for risk of nodal metastasis to determine the best management strategy.

Keywords

Stomach Cancer Gastric cardia Gastric cancer Endoscopy 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Chenggong Yu
    • 1
  • Guifang Xu
    • 2
  • Qin Huang
    • 3
    • 4
  • Tingshan Lin
    • 5
  • Edward Lew
    • 6
  1. 1.Department of GastroenterologyNanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical SchoolNanjingPeople’s Republic of China
  2. 2.Department of GastroenterologyAffiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolNanjingPeople’s Republic of China
  3. 3.Pathology and Laboratory MedicineVeterans Affairs Boston Healthcare SystemWest RoxburyUSA
  4. 4.Harvard Medical School and Brigham and Women’s HospitalBostonUSA
  5. 5.Nanjing Drum Tower HospitalNanjingPeople’s Republic of China
  6. 6.Harvard Medical School, VA Boston Healthcare System and Brigham and Women’s HospitalBostonUSA

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