Early stage gastric cancer and treatment options; [Erken evre mide kanseri ve tedavi seçenekleri]
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Date
2006
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Abstract
Early stage gastric cancer is defined as gastric adenocarcinoma limited to mucosa and submucosa. Most important diagnostic tests are serial endoscopies and multipl biopsies. Only treatment is total resection. Surgical procedure for antral tumors is subtotal gastrectomy and for the tumors placed at corpus and cardia total gastrectomy. Multifocal tumors are treated with total gastrectomy independent of their localisations. Radical lymph node dissection must be done for every patient with N2 disease. But, in small tumors limited to mucosa and type IIa tumors limited lymph node dissection (D1) is required. After D2 dissection for patients that lymph node (-), survey is excellent. For older and high risk patients noninvzsive surgical procedures (laser, endoscopic mucosal resection, laparoscopic wedge resection) can be choosen alternatively.
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Keywords
cancer diagnosis , cancer patient , cancer staging , cancer surgery , endoscopic surgery , gastrectomy , gastroscopy , high risk patient , human , laparoscopic surgery , laser surgery , lymph node dissection , review , stomach adenocarcinoma , stomach antrum , stomach biopsy , stomach mucosa , surgical technique