Das Carcinoma in situ des Magens und der kleine Magenkrebs<sup>1</sup>

Kuhlencordt, F.

doi:10.1055/s-0028-1114581

Cited by 13 publications

(4 citation statements)

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“…There is little information in the literature on survival rates of patients with early gastric cancer from countries other than Japan. The 5-year survival rates reported in the literature average 65% including, and 77% excluding, operative deaths [6,10,[19][20][21]. The results in our series of 67% and 74% are quite similar.…”

Section: Survivalsupporting

confidence: 78%

Results of surgical treatment of early gastric cancer in 113 patients

1981

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From 1961 to 1978, 113 patients with early gastric cancer were treated surgically at Erlangen University. The lesions were located in the lower 1/3 of the stomach in 47% of the patients, in the corpus and fundus in 46%, and in the gastric stump after resection in 7%. Surgical techniques included subtotal distal resection, proximal resection, total gastrectomy, local excision and polypectomy, and their use depended on the circumstances. The tumors were classified as intestinal type carcinoma in 71% of patients and diffuse type carcinoma in 29%. The 5-year survival rates calculated by the actuarial method were 74% (observed) and 87% (age corrected). Tumors in the lower 1/3 of the stomach had a better prognosis than tumors of other regions. Tumors limited to the mucosa had a higher 5-year survival rate than those with invasion of the submucosa. In Europe, as in Japan, early gastric cancer has a much better prognosis than all other forms of gastric cancer.

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Section: Survivalsupporting

confidence: 78%

Results of surgical treatment of early gastric cancer in 113 patients

1981

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“…PROGNOSIS A striking feature is the good prognosis, particularly in patients with pre-existing ulcers. Kuhlencordt (1959) in a long-term follow-up found survival with surface lesions of up to 15 years, with no deaths from gastric carcinoma. The patients in the present series have been followed for periods between two and a half and 10 years with only one death from gastric cancer.…”

Section: Discussionmentioning

confidence: 89%

Surface Carcinoma of the Stomach

Mason¹

1974

Early Gastric Cancer

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“…Kuhlencordt (1959) in a long-term follow-up found survival with surface lesions of up to 15 years, with no deaths from gastric carcinoma. The patients in the present series have been followed for periods between two and a half and 10 years with only one death from gastric cancer.…”

Section: Discussionmentioning

confidence: 89%

“…Why a tumour should be invasive in a stomach and apparently dormant in the related lymphatics remains obscure. Nevertheless, as shown by Kuhlencordt (1959) and by Brown, Cain, and Dockerty (1961), the prognosis in these cases must be more cautious when there is extension beyond the mucosa.…”

Section: Discussionmentioning

confidence: 95%

Surface carcinoma of the stomach

Mason¹

1965

Gut

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EDITORIAL SYNOPSIS Surface carcinomata confined to the mucosa have been found in 10% of stomachs operated on for apparently benign conditions. A multifocal origin is not uncommon. The prognosis is good. In this series the diagnosis was established by pathological studies on resected specimens but an increased awareness of this possibility may alert clinicians to make the diagnosis before operation.The majority of patients who present with a gastric carcinoma have a large growth which can be diagnosed with comparative ease, both by clinical procedures and by naked-eye inspection of the excised stomach. There is, however, a group of cases in which the growth is confined to the mucosa and, in the absence of an obvious tumour, the diagnosis can only be made by microscopic examination. The lesions have been studied by several authors (Ewing, 1936;Gutmann, Bertrand, and Peristiany, 1939;Mallory, 1940;Stout, 1942;Bamforth, 1955;Friesen, Dockerty, and ReMine, 1962) who have applied a variety of names but the most satisfactory term is probably 'superficial' or 'surface' carcinoma. Their particular importance lies both in the good prognosis and also in the information they provide on the pathogenesis of gastric cancer. The following series of cases is presented to show the incidence and pathological features of the condition. MATERIALS AND METHODSA total of 158 stomachs surgically removed by partial gastrectomy for apparently benign conditions were obtained fresh, opened along the greater curvature and pinned out flat on a cork board. Cytological studies were undertaken on the unfixed mucosa by scraping it in various areas with a toothbrush and spreading the material obtained onto a slide. Care was always taken to obtain a smear from the vicinity of any ulcer. The smears were fixed while still wet in Schaudinn's solution and stained with haemalum and eosin. The stomachs were then fixed on the cork board for 24 hours in formol saline. The entire lesser curvature was then sectioned using the 'swiss roll' technique of Magnus (1937), and stained with haematoxylin and eosin. Sections were also taken from any ulcers situated away from the lesser 'Present address: Department of Pathology, St. James's Hospital, Leeds. curve and from representative areas of the pyloric and body mucosa. Eight surface carcinomas were discovered by this means. When one of these lesions was found, it was mapped out and its size determined by taking further sections in a plane at right angles to the lesser curve as shown in Fig. 1, which illustrates the findings in case 1. A search was also made along the greater and lesser curvatures in all specimens for lymph nodes and sections taken of all those found.An additional four stomachs with surface carcinomas became available later and were examined in a similar way. Finally, a search through earlier gastrectomy specimens revealed three more stomachs in which surface carcinomas were present but these were not available for further sectioning.

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Das Carcinoma in situ des Magens und der kleine Magenkrebs¹

Cited by 13 publications

References 0 publications

Results of surgical treatment of early gastric cancer in 113 patients

Results of surgical treatment of early gastric cancer in 113 patients

Surface Carcinoma of the Stomach

Surface carcinoma of the stomach

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Das Carcinoma in situ des Magens und der kleine Magenkrebs1

Cited by 13 publications

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Results of surgical treatment of early gastric cancer in 113 patients

Results of surgical treatment of early gastric cancer in 113 patients

Surface Carcinoma of the Stomach

Surface carcinoma of the stomach

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Das Carcinoma in situ des Magens und der kleine Magenkrebs¹