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Survival of Patients with Early Gastric Cancer Operated on for Cure

  • Chapter
Progress in Surgical Pathology

Abstract

Prognosis of early gastric cancer is far better than all other forms of gastric cancers with survival figures up to 90% at 5 years in Japan. Between 1982 and 1986, 31 cases of early gastric cancers were diagnosed at our institution and operated on for cure. Macro—scopically, 79% of lesions were ulcerating tumors, and 80% were located in the antrum with a maximal diameter of 2 cm in the majority of tumors. Histologically, 58% of cancers were of the intestinal type and 19 out of 31 had spread to the submucosa.

One patient was lost to the follow—up. Excluding one postoperative death, 29 patients were analyzed for cause of death or recurrence. Four patients died; 2 of synchronous cancers in other organs; and 2 of recurrence; 51 and 24 months after surgery of liver metastases and local lymph node spread, respectively. Recurrence occurred in 8% of patients submitted to subtotal gastrectomy, while no patients submitted to total gastrectomy recurred. Three cases with lymph node involvement at the time of gastric resection were free of recurrence during the follow—up period.

Since total gastrectomy carries a high mortality and morbidity rate and late adverse surgical sequela, we suggest that sub—total gastrectomy with extended lymphadenectomy is the appropriate treatment for patients with early gastric cancer. Increasingly higher numbers of such patients need to be diagnosed in order to improve the dismal prognosis of gastric cancer, at least in the Western world.

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Authors
  1. Serafino Recchia
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  2. Angelo Andriulli
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  3. Arrigo Arrigoni
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  4. Tiziana Gindro
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  5. Guido Valente
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  6. Andrea Petrini
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  7. Giorgio Verme
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Editor information

Editors and Affiliations

  1. University of New Mexico, Albuquerque, New Mexico, USA

    Cecilia M. Fenoglio-Preiser M.D. (Professor of Pathology, Director of Laboratory Services) (Professor of Pathology, Director of Laboratory Services)

  2. Albuquerque Veterans Administration Medical Center, Albuquerque, New Mexico, USA

    Cecilia M. Fenoglio-Preiser M.D. (Professor of Pathology, Director of Laboratory Services) (Professor of Pathology, Director of Laboratory Services)

  3. Columbia University College of Physicians and Surgeons, Morristown, New Jersey, USA

    Marianne Wolff M.D. (Professor of Clinical Surgical Pathology) (Professor of Clinical Surgical Pathology)

  4. Department of Pathology, Memorial Hospital, Morristown, New Jersey, USA

    Marianne Wolff M.D. (Professor of Clinical Surgical Pathology) (Professor of Clinical Surgical Pathology)

  5. National Cancer Institute, Milan, Italy

    Franco Rilke M.D. (Deputy Director, Director, Professor) (Deputy Director, Director, Professor)

  6. Division of Pathology, Italy

    Franco Rilke M.D. (Deputy Director, Director, Professor) (Deputy Director, Director, Professor)

  7. Postgraduate School of Anatomic Pathology, University of Pavia, Italy

    Franco Rilke M.D. (Deputy Director, Director, Professor) (Deputy Director, Director, Professor)

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© 1990 Springer-Verlag Berlin Heidelberg

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Recchia, S. et al. (1990). Survival of Patients with Early Gastric Cancer Operated on for Cure. In: Fenoglio-Preiser, C.M., Wolff, M., Rilke, F. (eds) Progress in Surgical Pathology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-12811-4_2

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  • DOI: https://doi.org/10.1007/978-3-662-12811-4_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-12813-8

  • Online ISBN: 978-3-662-12811-4

  • eBook Packages: Springer Book Archive

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