Diagnosis and treatment of 50 patients with early gastric carcinomas

VernacularTitle:早期胃癌50例临床诊治的回顾性研究
Author: Qingsen GUO ; Jingli DU ; Yingqiang SHI ; Yudong LIN
Publication Type:Journal Article
Keywords: Stomach neoplasm; Early diagnosis; Surgical operation; D2 radical mastectomy
From: International Journal of Surgery 2012;39(3):160-162
CountryChina
Language:Chinese
Abstract: ObjectiveTo evaluate the factors implicated in the diagnosis and treatment of early gastric caner.Methods Fifty Patients early gastric caner with diagnosed from March 2004 to May 2006,were investigated in the study retrospectively.ResultsAll of the patients were diagnosed accurately by the gastroscopy,among which 2 had atrophic gastritis history for 6 or 10 years,respectively.Twenty-four masses were located in gastric pylorus,12 in gastic angular incisure,14 in gastric body.D2 radical mastectomy was performed in 41 cases,and D1 radical mastectomy in 9 cases.In 10 cases the diameter of tumors was ＜1 cm,17 cases 1 -2 cm,14 cases 2-3 cm,9 cases ＞3 cm.Lymph node involvements were observed in five cases ( 10％ ).Follow data were available in 48 cases.Among them,3 died from local recurrence and metastasis at postoperative 10,12,19 months respectively. Conclusions Although endosopic mucosal resection or limited surgical resection is a reasonable treatment for some early gastric caner patients,D2 radical mastectomy is necessary for most early gastric caner patients.