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01-01-2010 | Original Article

Clinicopathological Properties of the Superficial Spreading Type Early Gastric Cancer

Authors: Tsutomu Namikawa, Hiroyuki Kitagawa, Jun Iwabu, Takehiro Okabayashi, Takeki Sugimoto, Michiya Kobayashi, Kazuhiro Hanazaki

Published in: Journal of Gastrointestinal Surgery | Issue 1/2010

Abstract

Introduction

We investigated differences in characteristics between the superficial spreading type early gastric cancer (EGC) characterized by a wide and superficial extension and the common type EGC.

Patients and Methods

Between 1982 and 2008, we retrospectively reviewed clinical reports of patients with the EGC treated at Kochi Medical School.

Results

Sixty-one patients (9.6%) out of 646 patients had the superficial spreading type EGC. The occurrences of diffuse type histology and lymph node metastasis were significantly greater in the superficial spreading type than in the common type. The incidence of EGC confined to the mucosa was significantly greater in the lymph node-positive superficial spreading type than in the lymph node-positive common type.

Conclusions

In patients with the superficial spreading type EGC, lymph node metastasis was more prominent regardless of the degree of tumor invasion. Therefore, appropriate extensive lymph node dissection and wide surgical resection are required for the curative resection of the superficial spreading type EGC.

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Title: Clinicopathological Properties of the Superficial Spreading Type Early Gastric Cancer
Authors: Tsutomu Namikawa
Hiroyuki Kitagawa
Jun Iwabu
Takehiro Okabayashi
Takeki Sugimoto
Michiya Kobayashi
Kazuhiro Hanazaki
Publication date: 01-01-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 1/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-009-1059-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinicopathological Properties of the Superficial Spreading Type Early Gastric Cancer

Abstract

Introduction

Patients and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Patients and Methods

Results

Conclusions

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