Surgical Treatment of Gastric Carcinoma

Inberg, M. V.; Heinonen, Reijo; Rantakokko, V.; Viikari, S

doi:10.1001/archsurg.1975.01360120021003

Cited by 40 publications

(14 citation statements)

References 10 publications

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“…In the past 2 periods, there were no 5-year survivors of lesions of the fundus but 3 (14.3%) of the 21 patients with tumors of the cardia survived 5 years [constituting 14.2% of all 5-year survivors for that period (p < 0.05)]. These findings are substantiated by Inberg and colleagues [7] who studied 4 consecutive 5-year periods and found an increase in 5-year survivors of lesions of the cardia from zero in the first group to 16% in the third group. The gross appearance of the lesion may have some relation to 5-year survival.…”

Section: Characteristics Of the Lesionsmentioning

confidence: 79%

Adenocarcinoma of the stomach: A review of 35 years and 1,710 cases

et al. 1990

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The records of 1,710 patients with adenocarcinoma of the stomach treated at Charity Hospital over a 35-year period were reviewed to note any trends which might help in understanding the decreasing incidence and poor prognosis of the disease. The yearly number of gastric cancer patients has dropped from 234/100,000 in the 1950's to 195/100,000 in the 1960's to 108/100,000 patients in the last decade. The percentage of affected white males is decreasing at a rate equal to the increasing frequency of black female patients, while the ratios for black males and white females remain constant. The median age rose from 61.5 years to 66 years over the study period. The operability rate decreased from 82.4% to 72.8% and the resectability rate was 49%. Subtotal gastrectomy was the most common procedure, but radical subtotal gastrectomy gave the best 5-year survival. There are fewer lesions of the antrum today, but the highest number of 5-year survivors had antral lesions. Long-term survival of patients with lesions of the cardia improved from zero in the first 25 years to 14% in the last decade. For the last 2 decades, patients with stage III and IV lesions comprised one-half of the 5-year survivors. Our overall 5-year survival was 7.9%, but in the last decade it was 8.9%. Our 5-year survival for all patients who underwent a resection was 17.9%, but increased to 24.8% for the last decade. These improvements, in combination with a decrease in incidence, have dropped the overall mortality from gastric cancer.

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Section: Characteristics Of the Lesionsmentioning

confidence: 79%

Adenocarcinoma of the stomach: A review of 35 years and 1,710 cases

et al. 1990

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“…Numerous reports [4][5][6][7][8][9][10][11][12] have been concerned with special characteristics of gastric cancer in elderly patients, but unanimous conclusions have not yet been reached. Based on our present study performed in a large number of elderly patients with gastric cancer, the following features are noteworthy.…”

Section: Discussionmentioning

confidence: 99%

Gastric cancer in patients above 70 years of age

et al. 1984

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Clinical records of 406 patients over 70 years of age with gastric cancer operated on during the past 22 years were analyzed. These cases amounted to 11.8% of the 3,425 patients with gastric cancer treated surgically at our hospitals during the same period. The primary tumor was confined to the upper one‐third portion of the stomach in 15.8% of the cases, which was significantly higher than that usually reported. Macroscopic staging of the lesion revealed that more than two‐thirds of the patients were suffering from highly advanced disease. The size of the tumor was larger than 50 mm in diameter in 50.8% of the cases. The tumor was predominantly of Borrmann II and III types. Early gastric cancer was observed in only 14.8% of the cases, which was approximately one‐half of the usual rate. However, histological study revealed well‐differentiated adenocarcinoma in two‐thirds of the lesions, a remarkable characteristic of gastric cancer in the elderly. Resection was possible in 70.9%, and curative resection was performed in 46.8%. The over‐all hospital mortality rate was 16.5%. The prognosis of curative resection cases yielded a 5‐year survival rate of 51.5% and 10‐year survival rate of 25.5%. These results would justify the practice of early diagnosis and aggressive surgery in every acceptable risk patient, if no contraindication exists.

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“…The literature reports 3-year survival rates of 7-12.6% [16,19]. Regardless of the number of metastatic sites, we had a 7.03% 5-year survival rate in patients with palliative resection.…”

Section: Discussionmentioning

confidence: 52%