EARLY GASTRIC CANCER A STUDY OF TEN CASES

Abstract

This .study is a retrospective study of 10 patients with early gastric cancer, (6 from Imam Khomeini hospital between 1985 to 1994 and 4 from private office) . from the standpoint of clinical and pathological views, treatment modalities and prognosis. In Imam Khomcni hospital early gastric cancer comprises near l'7t, (6/560) of all gastric cancers, which may he due to late reference, lack of screening procedures, etc. Mean age of onset was 52 years and male /'female ratio was 7:3. All patients had some type, of gastrointestinal upset like heartburn, epigastric pain etc. Six tumors were located in antrum and 3 in fundus and one was not identified. Macroscopically 4 cases were type Hc, two cases type Ha.two cases type Hb and two were type HI. 5 cases had only mucosa! involvement and 5 had both mucosal and submucosal involvement. In 6 patients the. tumor was undifferentiated, one moderately differentiated and 3 well differentiated. Intestinal metaplasia was found in 5 and gastritis in 9 of them. Only one patient had lesser curvature lymph node metastasis. Subtotal gastrectomy was perfnnncd for 8' and total gastrectomy for two patients. Except for one patient who died 24 hours after surgery due to Ml, 8 others lived disease free for more than or near 5 years after treatment. It is concluded that early diagnosis of cancer through screening procedures results in a better outlook for these patients.