EARLY GASTRIC CANCER A STUDY OF TEN CASES
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| Title | EARLY GASTRIC CANCER A STUDY OF TEN CASES |
| Authors | |
| Abstract | This .study is a retrospective study of 10 patients with early gastric cancer, (6 from Imam Khomeini hospital between 1985 to 1994 and 4 from private office) . from the standpoint of clinical and pathological views, treatment modalities and prognosis. In Imam Khomcni hospital early gastric cancer comprises near l´7t, (6/560) of all gastric cancers, which may he due to late reference, lack of screening procedures, etc. Mean age of onset was 52 years and male /´female ratio was 7:3. All patients had some type, of gastrointestinal upset like heartburn, epigastric pain etc. Six tumors were located in antrum and 3 in fundus and one was not identified. Macroscopically 4 cases were type Hc, two cases type Ha.two cases type Hb and two were type HI. 5 cases had only mucosa! involvement and 5 had both mucosal and submucosal involvement. In 6 patients the. tumor was undifferentiated, one moderately differentiated and 3 well differentiated. Intestinal metaplasia was found in 5 and gastritis in 9 of them. Only one patient had lesser curvature lymph node metastasis. Subtotal gastrectomy was perfnnncd for 8´ and total gastrectomy for two patients. Except for one patient who died 24 hours after surgery due to Ml, 8 others lived disease free for more than or near 5 years after treatment. It is concluded that early diagnosis of cancer through screening procedures results in a better outlook for these patients. |
| Publisher | Tehran University of Medical Sciences |
| Date | 2012-10-20 |
| Source | Acta Medica Iranica Vol 36, No 1 (1998) |