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KMID : 0381219870190030241
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Journal of RIMSK
1987 Volume.19 No. 3 p.241 ~ p.249
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Early Gastric Carcinoma
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Abstract
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Stomach cancer which with lower survival rates is one of the most common malignant tumor in Korea. In spite of surgical technique improvement and diagnostic method advancement, the 5 years survival rate of advanced stomach cancer was not improved to the satisfiable level. So, unique method of improving the total survival rate of stomach cancer is the increasing of diagnostic and treatment rate of early gastric cancer.
Gastric mass survey program and gastroscopy were applied aggressively especially in dyspeptic patient more than 40 years old, the results were optismitic. But it is very difficult to do above method to the whole general population because of high cost, excessive time loss. To screen out high-risk group, chemoserologic test-eg. FSA, Pepsinogen I. alpha-1 acid glycoprotein were developed and the results were good, we hope the advancement of stomach cancer marker with high specificity and sensitivity in the future. .
The prognosis of early gastric cancer are depended on, lymphnode involvement (n factor) and tumor differentiation, Even though the 5 year survival rate of early gastric cancer is more than 90%, the lymphnode involved cases are beyond than 75%. So that reasons, the generalized standard operation of early gastric cancer is R2 operation (resection of regional two zone of lymphnode)
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