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. 1997;75(12):1769–1773. doi: 10.1038/bjc.1997.301

Early gastric cancer mimicking advanced gastric cancer.

K Kitamura 1, T Yamaguchi 1, S Nishida 1, K Yamamoto 1, K Okamoto 1, H Taniguchi 1, A Hagiwara 1, K Sawai 1, T Takahashi 1
PMCID: PMC2223604  PMID: 9192979

Abstract

The clinicopathological features of 37 early gastric cancers mimicking advanced gastric cancer were reviewed retrospectively, and were compared with 596 other early gastric cancers and 126 mp gastric cancers, defined as gastric cancer invading the muscularis propria of the stomach. A greater tumour size (P < 0.005), submucosal invasion (P < 0.005), lymph node and lymph vessel invasion (P < 0.005) and vascular invasion (P < 0.025) were found more frequently in early gastric cancers mimicking advanced gastric cancers than in other early gastric cancers. There were no significant differences in the clinicopathological findings between early gastric cancers mimicking advanced gastric cancers and mp gastric cancers. Patients with early gastric cancers mimicking advanced gastric cancers showed a lower survival rate than patients with other early gastric cancers, but a higher survival than those with mp gastric cancers. The macroscopic appearance of an advanced gastric cancer was an indicator of massive submucosal invasion and lymph node metastasis in early gastric cancer. As early gastric cancers mimicking advanced gastric cancers showed similar clinicopathological findings to mp gastric cancers, these cancers should be treated as mp gastric cancers.

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Selected References

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

  1. Hioki K., Nakane Y., Yamamoto M. Surgical strategy for early gastric cancer. Br J Surg. 1990 Dec;77(12):1330–1334. doi: 10.1002/bjs.1800771205. [DOI] [PubMed] [Google Scholar]
  2. Ichiyoshi Y., Toda T., Minamisono Y., Nagasaki S., Yakeishi Y., Sugimachi K. Recurrence in early gastric cancer. Surgery. 1990 May;107(5):489–495. [PubMed] [Google Scholar]
  3. Inoue K., Tobe T., Kan N., Nio Y., Sakai M., Takeuchi E., Sugiyama T. Problems in the definition and treatment of early gastric cancer. Br J Surg. 1991 Jul;78(7):818–821. doi: 10.1002/bjs.1800780717. [DOI] [PubMed] [Google Scholar]
  4. Kitamura K., Hagiwara A., Otsuji E., Shimotsuma M., Taniguchi H., Yamaguchi T., Sawai K., Takahashi T. Activated carbon-oriented gastrectomy for early gastric cancer. Br J Surg. 1995 May;82(5):647–650. doi: 10.1002/bjs.1800820525. [DOI] [PubMed] [Google Scholar]
  5. Kitamura K., Yamaguchi T., Taniguchi H., Hagiwara A., Sawai K., Takahashi T. Analysis of lymph node metastasis in early gastric cancer: rationale of limited surgery. J Surg Oncol. 1997 Jan;64(1):42–47. doi: 10.1002/(sici)1096-9098(199701)64:1<42::aid-jso9>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  6. Kitamura K., Yamaguchi T., Taniguchi H., Hagiwara A., Yamane T., Sawai K., Takahashi T. Clinicopathological characteristics of gastric cancer in the elderly. Br J Cancer. 1996 Mar;73(6):798–802. doi: 10.1038/bjc.1996.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Maehara Y., Orita H., Okuyama T., Moriguchi S., Tsujitani S., Korenaga D., Sugimachi K. Predictors of lymph node metastasis in early gastric cancer. Br J Surg. 1992 Mar;79(3):245–247. doi: 10.1002/bjs.1800790320. [DOI] [PubMed] [Google Scholar]
  8. Maruyama K., Gunvén P., Okabayashi K., Sasako M., Kinoshita T. Lymph node metastases of gastric cancer. General pattern in 1931 patients. Ann Surg. 1989 Nov;210(5):596–602. doi: 10.1097/00000658-198911000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Maruyama K., Okabayashi K., Kinoshita T. Progress in gastric cancer surgery in Japan and its limits of radicality. World J Surg. 1987 Aug;11(4):418–425. doi: 10.1007/BF01655804. [DOI] [PubMed] [Google Scholar]
  10. Moreaux J., Bougaran J. Early gastric cancer. A 25-year surgical experience. Ann Surg. 1993 Apr;217(4):347–355. doi: 10.1097/00000658-199304000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Mori M., Sugimachi K., Ohiwa T., Okamura T., Tamura S., Inokuchi K. Early gastric carcinoma in Japanese patients under 30 years of age. Br J Surg. 1985 Apr;72(4):289–291. doi: 10.1002/bjs.1800720415. [DOI] [PubMed] [Google Scholar]
  12. Ohta H., Noguchi Y., Takagi K., Nishi M., Kajitani T., Kato Y. Early gastric carcinoma with special reference to macroscopic classification. Cancer. 1987 Sep 1;60(5):1099–1106. doi: 10.1002/1097-0142(19870901)60:5<1099::aid-cncr2820600530>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  13. Sano T., Kobori O., Muto T. Lymph node metastasis from early gastric cancer: endoscopic resection of tumour. Br J Surg. 1992 Mar;79(3):241–244. doi: 10.1002/bjs.1800790319. [DOI] [PubMed] [Google Scholar]
  14. Tatsuta M., Okuda S., Tamura H., Taniguchi H. Endoscopic diagnosis of early gastric cancer by the endoscopic Congo red-methylene blue test. Cancer. 1982 Dec 15;50(12):2956–2960. doi: 10.1002/1097-0142(19821215)50:12<2956::aid-cncr2820501242>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  15. Tio T. L., Schouwink M. H., Cikot R. J., Tytgat G. N. Preoperative TNM classification of gastric carcinoma by endosonography in comparison with the pathological TNM system: a prospective study of 72 cases. Hepatogastroenterology. 1989 Apr;36(2):51–56. [PubMed] [Google Scholar]

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