Early gastric cancer. Sopravvivenza e fattori prognostici in 95 casi consecutivi.

Translated title of the contribution: Early gastric cancer. Survival and prognostic factors in 95 consecutive cases

R. Iuliano, A. Arrigoni, S. Recchia, A. Andriulli, V. Canavese, S. Rodinò, A. Giglio, G. Verme

Research output: Contribution to journalArticlepeer-review


In order to characterize prognostic factors and therapeutic strategies for EGC, we have studied 95 patients operated on from 1980 to 1988. EGC was limited to the mucosa in 36% and extended to the submucosa in 64% of the cases. Lymph nodes involvement was observed in 13 patients; in 12 of them EGC extended to the submucosa. Gastric resection was performed in 73 and total gastrectomy in 22 patients with a postoperative mortality of 6% and 16% respectively. During the follow-up 8 patients died for causes related to EGC, 8 for unrelated causes. The 5 years survival rate was 79, without differences according to site, type, size and histology of EGC, lymph nodes involvement, type of gastrectomy; only EGC limited to the mucosa was associated with a better survival experience (96% vs 70% of tumors extended to the submucosa p less than 0.05). The prognosis of EGC is good and a curative surgery may be accomplished, especially if the lesion is limited to the mucosa. In EGC extended to the submucosa an accurate lymphadenectomy may further improve the prognosis, while total gastrectomy--de principe--carries a higher postoperative mortality, without significant improvement of the long term prognosis.

Translated title of the contributionEarly gastric cancer. Survival and prognostic factors in 95 consecutive cases
Original languageItalian
Pages (from-to)205-209
Number of pages5
JournalMinerva Gastroenterologica e Dietologica
Issue number4
Publication statusPublished - Oct 1991

ASJC Scopus subject areas

  • Medicine(all)


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