Early gastric cancer detection in four areas at different gastric cancer death rate

H. Aste, D. Amadori, C. Maltoni, M. Crespi, V. Pugliese, A. Ravaioli, F. Pacini, V. Casale

Research output: Contribution to journalArticlepeer-review


A standardized diagnostic programm was carried-out in four oncological centers operating in different geographical areas at high, middle and low gastric cancer death rate. Complexively 9 276 out-patients complaining with upper digestive symptoms were submitted to upper digestive endoscopy and radiology. Multiple guided biopsies and abrasive cytology in the presence of circumscribed gastric lesions were performed. The number of advanced and early gastric cancers yielded by this study were in agreement with different mortality rate for gastric cancer reported in the four involved areas. Gastric peptic ulcers and benign epithelial gastric polyps were more common in high risk areas. The percentage of early gastric cancers detected varied from 7.1% to 16.2% of the overall gastric tumours. The Authors consider that screening programs for early gastric cancer detection should be decided according to the regional incidence of gastric neoplasias. In low or middle risk areas people should be educated to consider suspicious symptoms and to approach specialized diagnostic centers.

Original languageEnglish
Pages (from-to)123-132
Number of pages10
JournalActa Endoscopica
Issue number2
Publication statusPublished - Mar 1981


  • cancer
  • démiologie estomac
  • detection
  • early gastric cancer

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)


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