Early Gastric Cancer

Green, Peter H. R.; O’Toole, Kathleen; Weinberg, Lee; Goldfarb, Joel P.

doi:10.1016/s0016-5085(81)80055-8

Cited by 96 publications

(16 citation statements)

References 24 publications

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“…The widespread use of endoscopy is probably responsible for a higher detection rate of EGC. Nowadays, 17-27% of all gastric carcinomas diagnosed in Europe and North America are classified as EGC [15][16][17][18][19]. In Japan due to a generalised population survey in asymptomatic patients, 50-60% of all cases of gastric cancer are EGC [5][6][7]101.…”

Section: Discussionsupporting

confidence: 93%

Early gastric cancer: An analysis of 44 cases with emphasis on the prognostic significance of the macroscopic and microscopic growth patterns

Oliveira¹,

Nobre‐Leitão

Chaves³

1992

Journal of Surgical Oncology

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Forty-four consecutive cases of "early gastric cancer" were studied according to the macroscopic classification proposed by the Japanese Gastroenterological and Endoscopy Society and further analyzed in terms of growth patterns. The tumours were then classified into the small mucosal type, the superficially spreading (Super) type and the penetrating growth (Pen) type. The Lauren type (intestinal vs. diffuse), presence of lymphatic and venous invasion, and lymph node metastasis were also assessed. Most elevated tumours showed a superficial growth pattern and were classified as Lauren's intestinal type, whereas depressed lesions were associated with submucosal invasion and were classified as diffuse. Microscopic patterns did not show any correlation with Lauren's classification. Mean duration of follow-up was 67.8 months and the overall actuarial survival was 93%, 80%, and 72%, at 2, 5, and 10 years, respectively. Aside from venous invasion no correlation was found between survival and any of the morphological parameters analysed.

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Section: Discussionsupporting

confidence: 93%

Early gastric cancer: An analysis of 44 cases with emphasis on the prognostic significance of the macroscopic and microscopic growth patterns

Oliveira¹,

Nobre‐Leitão

Chaves³

1992

Journal of Surgical Oncology

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“…[15][16][17] Although ESD for EGC has increased rates of en bloc and histologically complete resection, and may reduce local recurrence, increased procedure time and complication risks with ESD compared with EMR remain problematic, 10,12 but factors correlating with the technical difficulty in ESD for EGC are still unclear. One significant characteristic of EGC is its frequent coexistence with peptic ulcer, 18,19 and peptic ulcers can be histologically classified according to their shape and size, activity (open ulcers or ulcer scars), depth of penetration (submucosa, muscularis externa, or beyond), or a combination of criteria. 20 The presence of ulcer or scar in EGC has been a common therapeutic indication for ESD, and is responsible for the technical difficulty of the procedure.…”

Section: Introductionmentioning

confidence: 99%

Influential Factors in Procedure Time of Endoscopic Submucosal Dissection for Gastric Cancer With Fibrotic Change

Nagata¹,

Jin²,

Tomoeda³

et al. 2011

Digestive Endoscopy

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“…All except three lesions (which were incidentally detected postoperatively) were confirmed to be malignant by endoscopic biopsies. These findings show that endoscopy and endoscopic biopsies are the most efficient diagnostic tools for the detection of such small carcinomas [5], as well as for larger EGC [ 6 ] .…”

Section: Early Detection Of the Carcinomamentioning

confidence: 64%

“…These findings clearly show the difficulty in detecting minute undifferentiated type EGCs that occur in the middle third of the stomach [3]. Tatsuta et al stated that the endoscopic Congo red-methylene blue test was useful in the diagnosis of such types of EGC [ 6 ] .…”

Section: Early Detection Of the Carcinomamentioning

confidence: 99%

Clinicopathologic studies of gastric carcinoma

Mori¹,

Sugimachi²

1990

Seminars in Surgical Oncology

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We reviewed the clinical and pathologic experiences of gastric carcinoma cases seen in our department. Early diagnostics of the carcinomas were documented, especially in the cases of small gastric carcinoma, carcinoma of the gastric cardia, and in cases of young patients. The importance of lymphadenectomy in surgical treatment was emphasized as a cure for patients with gastric carcinoma. The surgical treatment and results for far advanced cases were also demonstrated. Several pathologic factors related to prognosis were shown; these included growth patterns, special gross or histologic types, stromal reactions, immunohistochemical studies, and others. We emphasize that a full understanding of the pathologic characteristics of gastric carcinoma is indispensable for providing adequate treatment.

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Early Gastric Cancer

Cited by 96 publications

References 24 publications

Early gastric cancer: An analysis of 44 cases with emphasis on the prognostic significance of the macroscopic and microscopic growth patterns

Early gastric cancer: An analysis of 44 cases with emphasis on the prognostic significance of the macroscopic and microscopic growth patterns

Influential Factors in Procedure Time of Endoscopic Submucosal Dissection for Gastric Cancer With Fibrotic Change

Clinicopathologic studies of gastric carcinoma

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