Stomach cancer is the most common malignant neoplasm in Korea, and 5-year survival rate of early cancer is excellent in comparison with advanced cancer. Therfore, tremendous efforts should be made for the early detection of gastric cancer.
The patients had presenting symptoms indistinguishable from those of benign peptic ulcer
disease, so radiology or endoscopic examination with multiple biopsies should be performed. The author reviewed 22 cases collected from Ewha Woman University Hospital, from Jan.
1983 ´to Apr. 1990.
The results were summerized as follows
1) The incidence of EGC among gastric cancer was 5.1%.
2) The over-all male to female sex ratio was 1 : 1.6, and the mean age was 50.2% years old.
3) The most common symptom was epigastric pain(77.8%) and the most common duration of symptoms was below 3 months(41%).
4) The diagnostic accuracy was 68.2% endoscopically and 70.3% radiologically.
5) The most frequent morphologic type of EGC was 11C(45.5%).
6) The major location of EGC were pylorus and antrum(59.1 % ) and lesser curvature(50.0% ).
7) The cancer was confined to regional lymph node was found in 13.6%.
8) Thd"most common microscopic tissue type of EGC was moderately differentiated adenoca-
rcinoma(36.4 % ).
9) Of 22 cases, all who had received gastric resection, were survived.
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