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Early Gastric Cancer

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Departments of Medicine and Pathology. Columbia Presbyterian Medical Center; New York, New York

Ann Intern Med. 1982;97(2):272-273. doi:10.7326/0003-4819-97-2-272
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Despite a decline in the incidence of gastric carcinoma in the United States over the last 40 years, the overall prognosis remains poor with 5-year survival rates between 5% and 15% (1, 2). Prompted by an unusually high incidence of gastric cancer, Japanese investigators have defined a subgroup of patients with a much improved 5-year survival rate. These patients have early gastric cancer, which is defined as carcinoma limited to the mucosa or submucosa that does not penetrate into or through the main muscle layer of the stomach. Early gastric cancer has three morphologic types: type I, polypoid or mass-like;


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