ABSTRACT
We review eight cases of early gastric cancer which occurred in five female and three male patients. In seven patients the main complaint was epigastric pain and in one melena. In seven of the eight cases, endoscopic diagnosis was established on the first examination and confirmed by biopsy. Types of early gastric cancer observed were: type I, one case; IIa, one case; IIc three cases: III, two cases and type III + IIc, one case. In five cases the neoplasia was located in the antrum, two in the pre-pyloric region, two along the greater curvature and one in the anterior wall. Three cases were located in the body of the stomach, two in the lower third of the lesser curvature and one in the upper third of the greater curvature. From the histopathologic standpoint four cases were differentiated adenocarcinomas, three undifferentiated adenocarcinomas and one case mucus carcinoma. In no case did we encounter regional lymph node metastases. Postoperative survival rates at the present time varies between one and five years.
Subject(s)
Adenocarcinoma, Mucinous/diagnosis , Adenocarcinoma/diagnosis , Stomach Neoplasms/diagnosis , Adenocarcinoma/pathology , Adenocarcinoma, Mucinous/pathology , Adult , Aged , Female , Gastroscopy , Humans , Male , Middle Aged , Stomach Neoplasms/pathologyABSTRACT
Foram revisados 8 casos de cancer gastrico precoce, sendo cinco em mulheres e tres em homens. Em sete casos a queixa principal era de dor no epigastrio, e em um caso era melena Sete dos oito casos foram determinados por diagnostico endoscopico no primeiro exame e confirmados pela biopsia. Observou-se os seguintes tipos de cancer gastrico precoce: tipo I, um caso; IIa, um caso; III, dois casos e III + IIc, um caso. Em cinco casos o neoplasma estava localizado no antro: dois na zona pre-pilorica, dois ao longo da grande curvatura e um na parede anterior. Tres casos estavam localizados no corpo do estomago, dois no terco inferior da pequena curvatura e um no terco superior da grande curvatura.Do ponto de vista histopatologico, quatro casos eram adenocarcinomas diferenciados e tres indifereciados, e um caso de carcinoma mucoso Em nenhum caso encontramos metastases para linfonodos. A media de sobrevida pos-operatoria varia de um a seis anos
