Endoscopic prognosis in gastric cancer
Autor: | Marcel Patterson, Joseph Shabot, Gary D. Roark, Michael Brannan |
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Rok vydání: | 1983 |
Předmět: |
Adult
Male medicine.medical_specialty Poor prognosis Adenocarcinoma Gastroenterology Stomach Neoplasms Internal medicine medicine Humans Stage (cooking) Neoplasm Metastasis Aged Neoplasm Staging medicine.diagnostic_test business.industry Advanced stage Cancer Endoscopy Middle Aged medicine.disease Prognosis Lymphatic system Gross morphology Female business Median survival |
Zdroj: | Journal of clinical gastroenterology. 5(1) |
ISSN: | 0192-0790 |
Popis: | Sixty-eight patients with gastric adenocarcinoma underwent upper gastrointestinal endoscopy from 1968 to 1975. Tumors were divided into two categories according to their gross characteristics at endoscopy (mass-ulcer or infiltrative), to try to correlate gross morphology and stage at presentation with survival. The median survival in the mass-ulcer group was 31 months, in the infiltrative group, 4.7 months. Mucosal biopsies were positive in 88% of the mass-ulcer group and in 64% of the infiltrative group. Ninety-four percent of patients with infiltrative lesions had stage III or IV disease (regional lymphatic or distant metastasis) at the time of diagnosis, compared to only 55% of the mass-ulcer patients. Endoscopic features consistent with an infiltrating tumor suggest an advanced stage of tumor with a poor prognosis. |
Databáze: | OpenAIRE |
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