Skip to main content
PMC home page
British Journal of Cancer logoLink to British Journal of Cancer
. 1996 Nov;74(10):1647–1650. doi: 10.1038/bjc.1996.603

A clinicopathological study of asymptomatic gastric cancer.

A Matsukuma 1, M Furusawa 1, H Tomoda 1, Y Seo 1
PMCID: PMC2074857  PMID: 8932349

Abstract

The clinicopathological profiles of 419 patients with asymptomatic gastric cancer (AGC) first detected by gastric screening, were reviewed and compared with those of the 1727 patients with symptomatic gastric cancer (SGC). The incidence of AGC increased gradually and has amounted to 30% of the total resected cases in recent years. About 75% of AGC cases were of early cancer and 84% were negative for lymph node metastases. In contrast, only 33% of SGC cases were of early cancer and 57% were node positive. Curative resection was done in 97% of AGC and 75% of SGC. The cumulative 5 and 10 year survival rates of patients with curatively resected AGC were 85.2% and 72.2%, respectively, while those for patients with SGC were 66.8% and 55.4%. These data demonstrated that most patients with asymptomatic gastric cancers could expect a curative resection, i.e. have a better clinical outcome, than those with symptomatic cancer.

Full text

PDF
1650

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Dent D. M., Madden M. V., Price S. K. Randomized comparison of R1 and R2 gastrectomy for gastric carcinoma. Br J Surg. 1988 Feb;75(2):110–112. doi: 10.1002/bjs.1800750206. [DOI] [PubMed] [Google Scholar]
  2. Eddy D. M. Finding cancer in asymptomatic people. Estimating the benefits, costs and risks. Cancer. 1983 Jun 15;51(12 Suppl):2440–2445. doi: 10.1002/1097-0142(19830615)51:12+<2440::aid-cncr2820511309>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  3. Green P. H., O'Toole K. M., Slonim D., Wang T., Weg A. Increasing incidence and excellent survival of patients with early gastric cancer: experience in a United States medical center. Am J Med. 1988 Nov;85(5):658–661. doi: 10.1016/s0002-9343(88)80238-9. [DOI] [PubMed] [Google Scholar]
  4. Haruma K., Yoshihara M., Tanaka S., Sumii K., Kajiyama G., Hidaka T., Daitoku K., Matsumoto T. Rapid growth and difficulty of early detection of scirrhous carcinoma of the stomach. Am J Gastroenterol. 1992 Jan;87(1):31–36. [PubMed] [Google Scholar]
  5. Hisamichi S., Sugawara N. Mass screening for gastric cancer by X-ray examination. Jpn J Clin Oncol. 1984 Jun;14(2):211–223. [PubMed] [Google Scholar]
  6. Kampschöer G. H., Fujii A., Masuda Y. Gastric cancer detected by mass survey. Comparison between mass survey and outpatient detection. Scand J Gastroenterol. 1989 Sep;24(7):813–817. doi: 10.3109/00365528909089219. [DOI] [PubMed] [Google Scholar]
  7. Kodama Y., Inokuchi K., Kamegawa T., Okamura T., Matsuura K., Enjoji M., Nakamura Y., Kusaba I. Growth patterns of gastric carcinoma detected by mass survey. Jpn J Surg. 1984 Sep;14(5):366–370. doi: 10.1007/BF02469542. [DOI] [PubMed] [Google Scholar]
  8. Mori M., Adachi Y., Nakamura K., Kuroiwa S., Enjoji M., Sugimachi K. Advanced gastric carcinoma simulating early gastric carcinoma. Cancer. 1990 Feb 15;65(4):1033–1040. doi: 10.1002/1097-0142(19900215)65:4<1033::aid-cncr2820650432>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  9. Nishidoi H., Kimura O., Makino M., Sugezawa A., Kaibara N. Clinicopathological features of advanced gastric cancer detected by periodic mass screening. Surg Today. 1992;22(2):120–123. doi: 10.1007/BF00311335. [DOI] [PubMed] [Google Scholar]
  10. Robertson C. S., Chung S. C., Woods S. D., Griffin S. M., Raimes S. A., Lau J. T., Li A. K. A prospective randomized trial comparing R1 subtotal gastrectomy with R3 total gastrectomy for antral cancer. Ann Surg. 1994 Aug;220(2):176–182. doi: 10.1097/00000658-199408000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Shiratori Y., Nakagawa S., Kikuchi A., Ishii M., Ueno M., Miyashita T., Sakurai T., Negami J., Suzuki T., Sato I. Significance of a gastric mass screening survey. Am J Gastroenterol. 1985 Nov;80(11):831–834. [PubMed] [Google Scholar]
  12. Wanebo H. J., Kennedy B. J., Chmiel J., Steele G., Jr, Winchester D., Osteen R. Cancer of the stomach. A patient care study by the American College of Surgeons. Ann Surg. 1993 Nov;218(5):583–592. doi: 10.1097/00000658-199321850-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Yamagata S., Hisamichi S. Epidemiology of cancer of the stomach. World J Surg. 1979 Nov;3(6):663–669. doi: 10.1007/BF01654784. [DOI] [PubMed] [Google Scholar]
  14. Yamazaki H., Oshima A., Murakami R., Endoh S., Ubukata T. A long-term follow-up study of patients with gastric cancer detected by mass screening. Cancer. 1989 Feb 15;63(4):613–617. doi: 10.1002/1097-0142(19890215)63:4<613::aid-cncr2820630402>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES