Clinicopathologic study of 208 patients with early gastric cancer in Taiwan: A comparison between Eastern and Western countries
Journal
Journal of Gastroenterology and Hepatology
Journal Volume
9
Journal Issue
4
Pages
344-349
Date Issued
1994
Author(s)
Abstract
Abstract To investigate whether there are any differences between the clinicopathologic characteristics of early gastric cancer (EGC) patients in Eastern and Western countries, 208 Taiwanese patients with EGC were reviewed between 1964 and 1992. The incidence of cancer has increased slightly over the 29?year period. Men were diagnosed with EGC frequently than women, and their mean age was 56 years. Epigastralgia (58.2%) was the most common symptom, whereas 5.8% of cancers were incidentally detected by endoscopy. Physical signs and laboratory tests were of limited value in making the diagnosis. Endoscopy was a better diagnostic aid than radiology. Tumours were frequently located in the lower third (53.2%) and middle third (43.3%) of the stomach. Cancers of the elevated type (17.8%) were less frequent than the depressed type (82.2%). Type IIc (31.2%) was the most common macroscopic type. The frequency of mucosal carcinoma (51.0%) was similar to submucosal carcinoma (49.0%). Mucosal carcinoma had less lymph node metastases (3.1%) than submucosal carcinoma (12.2%; P < 0.05), with an overall frequency of metastases of 7.5% (14/186). The 5?year survival rate was 90.8%. The clinicopathologic characteristics of EGC in Taiwan were similar to those of Western countries and other Eastern countries. Improvement of diagnostic examinations and endoscopic surveillance of asymptomatic subjects may lead to early diagnosis and thus ensure a more favourable outcome. Copyright ? 1994, Wiley Blackwell. All rights reserved
SDGs
Other Subjects
adult; aged; article; cancer grading; cancer incidence; cancer survival; early cancer; epigastric pain; Europe; female; gastroscopy; human; human tissue; lymph node metastasis; major clinical study; male; priority journal; stomach cancer; stomach carcinoma; stomach mucosa; stomach radiography; Taiwan; United States
Type
journal article