A retrospective study was made of a consecutive series of 219 patients with histologicall proven gastric carcinoma operated on from January 1984 to December 1989.
There was a male preponderance with a male to female ratio of 1.5 : 1. The peak age of incidence was 51 to 60 years. The most common symptoms were abdominal pain, indigestion and weight loss. The most common primary sites of tumor were the
antrum(56.6%)
and body(20.5%). Applying the TNM staging, the study revealed that 41.5 percent of the patients were in stage III, 26.9 percent in stage II, 18.8 percent in stage IV and 12.8 percent in stage I. The most common histologic type of tumor was well
differentiated adenocarcinoma(44.8%) and the most common gross type of tumor was Borrmann type III.
Noncurative surgical procedures were performed in 39.9 percent and 60.9 percent had curative gastric resection.
The overall 5 year survival rate was 61.1 percent.
The 5 year survival rate were:
61. 4% for male, 57.5% for female; 57.5% for age below 35 years, 72.7% for 36-60 years, 18.8% for above 60 years: 60.3% for antrum, 64.3% for body, 41.6% for fundus and cardia, 59.2% for diffuse 77.6% for long diameter below 3 cm, 69.8% for 3-6
cm
diameter, 54.3% for above 6 cm diameter; 76.0% for EGC, 78.3% for Borrmann type I, 74.6% for type II, 57.2% for type III, 52.8% for type IV; 67.1% for tubular carcinoma well differentiation, 65.4% for modrately, 50.3% for poorly, 48.7% for signet
ring
type; 81.8% for T1, 76.0% for T3, 17.8% for T4; 74.9% for NO. 40.8% for N1; 74.9% for TNM stage I, 73.0% for TNM stage II, 66.7% for TNM stage III, 15.0% for TNM stage IV; 62.1% for subtotal gastrectomy, 57.0% for Total gastrectomy, 68.3% for
radical
gastrectomy, 44.0% for palliative gastrectomy.
|