Skip to main content

Advertisement

Log in

Results of surgical treatment of early gastric cancer in 113 patients

  • Original Scientific Reports
  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

From 1961 to 1978, 113 patients with early gastric cancer were treated surgically at Erlangen University. The lesions were located in the lower 1/3 of the stomach in 47% of the patients, in the corpus and fundus in 46%, and in the gastric stump after resection in 7%. Surgical techniques included subtotal distal resection, proximal resection, total gastrectomy, local excision and polypectomy, and their use depended on the circumstances. The tumors were classified as intestinal type carcinoma in 71% of patients and diffuse type carcinoma in 29%. The 5-year survival rates calculated by the actuarial method were 74% (observed) and 87% (age corrected). Tumors in the lower 1/3 of the stomach had a better prognosis than tumors of other regions. Tumors limited to the mucosa had a higher 5-year survival rate than those with invasion of the submucosa. In Europe, as in Japan, early gastric cancer has a much better prognosis than all other forms of gastric cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ransom, H.K.: Cancer of the stomach. Surg. Gynecol. Obstet.96:275, 1953

    Google Scholar 

  2. Marshall, S.F., Adamson, N.E., Jr.: Cancer of the stomach: follow-up study of 1,708 patients. South. Med. J.50:776, 1957

    Google Scholar 

  3. Kajitani, K.: Therapeutic results of gastric cancer, abstracted. Excerpta Medica. Section 9: Surgery17:1355, 1963

    Google Scholar 

  4. Muto, M.: Results of surgery in 1988 surgical cases of stomach cancer. Tohoku J. Exp. Med.81:267, 1963

    Google Scholar 

  5. Mine, M., Majima, S., Harada, M., Etani, S.: End results of gastrectomy for gastric cancer: effect of extensive lymph node dissection. Surgery68:753, 1970

    Google Scholar 

  6. RuËff, F.L., Bary, S. von, Silbernagl, A.: Das Magenkarcinom: Eine statistische Analyse. Münch. Med. Wochenschr.115:410, 1973

    Google Scholar 

  7. Schwemmle, K.: Chirurgische Behandlung des Magenkarcinoms. Münch. Med. Wochenschr.117:281, 1975

    Google Scholar 

  8. Hayashida, T., Kidokoro, T.: End results of early gastric cancer collected from 22 institutions (Jpn.). I To Cho. Stomach and Intestine4:1077, 1969

    Google Scholar 

  9. Monafo, W.W., Jr., Krause, G.I., Jr., Medina, J.G.: Carcinoma of the stomach: morphological characteristics affecting survival. Arch. Surg.85:754, 1962

    Google Scholar 

  10. Bragg, D.G., Seaman, W.B., Lattes, R.: Roentgenologic and pathologic aspects of superficial spreading carcinoma of the stomach. A.J.R.101:437, 1967

    Google Scholar 

  11. Ohmann, U., Wetterfors, J., Moberg, A.: Primary gastric cancer and its prognosis. Acta Chir. Scand.138:378, 1972

    Google Scholar 

  12. Miller, G., Kaufmann, M.: Das Magenfrühkarzinom in Europa. Dtsch. Med. Wochenschr.100:1946, 1975

    Google Scholar 

  13. Hermanek, P., Rösch, W.: Critical evaluation of the Japanese “Early Gastric Cancer” classification. Endoscopy5:220, 1973

    Google Scholar 

  14. Lauren, P.: The two histological main types of gastric carcinoma: diffuse and so-called intestinal type carcinoma. Acta Pathol. Microbiol. Scand.64:31, 1965

    Google Scholar 

  15. Inokuchi, K., Inutsuka, S., Furusawa, M., Soejima, K., Ikeda, T.: Development of superficial carcinoma of stomach: report of late recurrence. Ann. Surg.164:145, 1966

    Google Scholar 

  16. Iwanaga, T., Taniguchi, H.: Klinische Pathologie des Magenfrühkarzinoms. Leber Magen Darm3:54, 1973

    Google Scholar 

  17. Murakami, K., Misaki, F., Shimamoto, K., Kawai, K.: Reevaluation of classification of early gastric cancer. Endoscopy6:209, 1974

    Google Scholar 

  18. Schubert, H.J., Peters, H.: Das songenannte Magenfrühkarzinom. Med. Klin.71:28, 1976

    Google Scholar 

  19. Kuhlencordt, F.: Das carcinoma in situ des Magens und der kleine Magenkrebs. Dtsch. Med. Wochenschr.84:2111, 1959

    Google Scholar 

  20. Friesen, G., Dockerty, M.B., ReMine, W.H.: Superficial carcinoma of the stomach. Surgery51:300, 1962

    Google Scholar 

  21. Priesching, A., Wagner, O., Funovic, F.: Subseröse Magenkarzinome. Wien. Med. Wochenschr.123:135, 1973

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gentsch, H.H., Groitl, H. & Giedl, J. Results of surgical treatment of early gastric cancer in 113 patients. World J. Surg. 5, 103–106 (1981). https://doi.org/10.1007/BF01657850

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01657850

Keywords

Navigation