PMID: 9179733Apr 1, 1997Paper

Clinicopathologic features of submucosal carcinoma of the stomach

Journal of Clinical Gastroenterology
K HanazakiM Ohtsuka

Abstract

A retrospective study of 155 patients with submucosal gastric carcinoma compared the clinicopathologic features with mucosal and muscularis proprial gastric carcinoma. Fifty-seven percent of the patients presented with gastrointestinal symptoms, whereas 36.1% had been detected by mass screening. The incidence of curative resection, lymph node metastasis, and complications were 96.1, 20.6, and 14.8%, respectively. Two patients died of sepsis and pulmonary infarction 30 days post-operatively. Five patients died of recurrent gastric cancer 1-5 years postresection. The overall 5-year survival rate was 90.2%. Recurrence patterns, histologic type, lymph node metastasis, lymphatic and venous infiltration, and growth pattern were similar to those of muscularis proprial carcinoma rather than mucosal carcinoma. Therefore, curative gastrectomy with extended lymphadenectomy (D2) may be feasible for submucosal carcinoma of the stomach.

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Citations

Apr 4, 2003·Critical Reviews in Oncology/hematology·Arnaud D Roth
Jul 2, 1998·Journal of Clinical Gastroenterology·K HanazakiM Otsuka
Feb 22, 2014·Diagnostic Pathology·Sun-Mi LeeGregory Y Lauwers
May 14, 2010·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Akira YokoyamaShin-ei Kudo
Aug 2, 2005·Cancer Letters·Qi WangXianghong Wang

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