%0 Journal Article
%T Sobrevida alejada de pacientes operados por c¨¢ncer g¨¢strico incipiente Long term survival of patients operated for early gastric cancer
%A Jean M Butte
%A Javiera Torres
%A Paola Viviani
%A Ignacio Duarte
%J Revista m¨¦dica de Chile
%D 2008
%I Sociedad M¨¦dica de Santiago
%X Background: Early gastric cancer involves mucosa and submucosa, independent of lymph node involvement. Radical gastrectomy is the standard treatment. Aim: To assess long term survival of patients operated for an early gastric cancer. Material and methods: Retrospective Rev iew of medical and pathology records of patients subjected to a gastrectomy for an early gastric cancer, between 1975 and 2002. All were treated using a standardized protocol and staged according to 2002 TNM classification of the American Joint Committee of C¨¢ncer (AJCC). Demographic and pathologic features, operation performed and long term survival were recorded. Survival was analyzed using Kaplan-Meier method. Results: The series is comprised by 64 males and 41 females aged 61 + 1 years. Tumor was located in the upper third of the stomach on 33 subjects and a total gastrectomy was performed in 53. Pathology showed an intestinal type adenocarcinoma in 82 and a diffuse type in 23. In patients with involvement of mucosa and submucosa, 24 ¡À 14 and 22 ¡À 14 lymph nodes were excised, respectively. Lymph node involvement was present in 8% and 22% of patients with involvement of mucosa and submucosa, respectively. Five years survival was 94% and 78% in patients without and with lymph node involvement, respectively. Survival among patients in stage IA and IB was 94% and 76%, respectively. Multivariate analysis showed that the lymph node involvement was an independent mortality risk factor. Conclusions: Total gastrectomy in patients with early gastric cancer is associated with a good survival. Lymph node involvement is a mortality risk factor.
%K Fatal outcome
%K Gastrectomy
%K Stomach neoplasms
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100008