Gastric resections had been performed in 682 patients with early astric cancer at department of surgery, Severance hospital duriny past 7 years from January, 1987 to December, 1993.
Synchronous multiple gastric cancer, according to the diagnostic criteria of Moertel, was found in 38(5.6%) with 37 double and 1 triple lesions and male to female ratio was 4.4 to 1 with average age of 57year.
Only 44.7% of the mutiple lesions were diagnosed preoperatively and 71.0% of the smaller lesions were less than 10mm in diameter.
In 50% of the kpatients, the main lesions were in the middle one-third of the stomach and smaller lesions were in the lower onw-third. Te correspondence of the multiple lesions was 68%. The clinical significance of the smaller lesions was their
location
relative to the resection line.
When planning treatment of early gastric cancer, it is important to evaluate the whole stom ach before and during the operation and after ezamining the resected specimn.
The survivial rate for patients with multiple early gastric cancer was exellent as that of overall early gastric cancer.
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