Chronologic Development and Prognosis of Early Gastric Cancer

Nagayo, Takeo

doi:10.1007/978-3-642-70361-4_7

Histogenesis and Precursors of Human Gastric Cancer 1986

DOI: 10.1007/978-3-642-70361-4_7

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Chronologic Development and Prognosis of Early Gastric Cancer

Takeo Nagayo

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1991

1999

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Cited by 5 publications

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“…The very poor prognosis of advanced gastric carcinoma [5-year survival rate of 16.3% in the US (Miller et aL, 1992) and 12% in Slovenia (Cancer Registry of Slovenia, 1990)] makes early diagnosis an important objective [S-year survival rate after surgery of 92-97% (Nagayo, 1986)) This could be achieved by the identification of patients in whom the disease is more likely to develop, followed by endoscopic surveillance and biopsy. Chronic atrophic gastritis, intestinal metaplasia (IM) and dysplasia are considered to be precursor lesions of gastric cancer (Correa et al, 1975).…”

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confidence: 98%

Intestinal metaplasia types and the risk of gastric cancer: A cohort study in Slovenia

Filipe

Muñóz

Matko

et al. 1994

Intl Journal of Cancer

418

328

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Between 1967 and 1976, 1,525 Slovenian patients with a histological diagnosis of intestinal metaplasia (IM) were classified according to subtype of IM based on morphology and mucin staining; 518 cases were diagnosed with type I, 197 with type II and 275 with type III, but in 291 the diagnosis of IM was not confirmed. Patients who had developed cancer or died up to 1986 were identified by record linkage at the Slovenia Cancer Registry and the Central Population Registry in Slovenia. A total of 34 incident cases of gastric cancer occurring at least 6 months after the diagnosis of IM were identified. The standardised incidence ratio (SIR) for stomach cancer was 2.23 in the whole cohort. It was highest for IM type III, followed by type II and IM-unconfirmed, but not increased for type I. The relative risk (RR) of developing gastric cancer based on Cox's proportional hazards model was 2.14 for type II and 4.58 for type III, compared with type I. The RR was especially increased for a subgroup of type III secreting sulphomucins in their goblet cells in comparison with types I-II negative to sulphomucins. Our results confirm that subtyping of IM is useful for identifying individuals at high risk for gastric cancer.

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confidence: 98%

Intestinal metaplasia types and the risk of gastric cancer: A cohort study in Slovenia

Filipe

Muñóz

Matko

et al. 1994

Intl Journal of Cancer

418

328

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Long-term results of early gastric cancer accomplished in a European institution by Japanese-type radical resection

et al. 1999

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Adenocarcinoma of the stomach with invasion limited to the muscularis propria

Harrison¹,

Dean²,

Zwaag³

et al. 1991

Human Pathology

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Chronologic Development and Prognosis of Early Gastric Cancer

Cited by 5 publications

References 31 publications

Intestinal metaplasia types and the risk of gastric cancer: A cohort study in Slovenia

Intestinal metaplasia types and the risk of gastric cancer: A cohort study in Slovenia

Long-term results of early gastric cancer accomplished in a European institution by Japanese-type radical resection

Adenocarcinoma of the stomach with invasion limited to the muscularis propria

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