The Endoscopy Archives
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Gastric cancer can be divided into two groups according to the Lauren classification. Of all gastric adenocarcinomas, 30 - 40% are of the diffuse type. This type of cancer in the stomach is somewhat more common in younger patients, it is as usual in men as in women, it often forms a malignant ulcer in the stomach and Helicobacter pylori does not have any important etiologic significance. Blood group A is a small riskfactor conserning gastric cancer of the diffuse type.
The intestinal type is somewhat more common than the diffuse type. The patients are usually older, more men get this disease, it forms a typical visible tumour in the stomach and Helicobacter pylori is an important etiologic factor, a person with Hp-infection has a 6-time high possibility of getting this disease.
Early gastric cancer A gastric cancer where the malignany is confined to the mucosa or submucosa but not infiltrating the muscularis mucosae. This type of gastric cancer was intitially described in Japan, but is of course found in any country where endoscopies are made. Resection is curative and 5-year survival is very high. An early gastric cancer does not usually cause any symptoms and is usually found when upper endoscopy is made for another reason or in screening examinations.
And here are all the important books about gastric cancer:
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