VintilĂ, Marius; Andercou, Aurel; Duse, Adrian
June 2012
Clujul Medical;Jun2012, Vol. 85 Issue 2, p155
Academic Journal
Gastric neoplasm is one of the most common digestive tract cancers, entailing a high mortality rate. Gastric adenocarcinoma represents over 95% of gastric malignant tumours, therefore the generic term gastric cancer mostly refers to adenocarcinoma. The gold standard in the diagnosis of gastric neoplasm and its complications is upper GI endoscopy associated with biopsy and histological testing, both for the screening and the individual diagnosis. Patients come to the doctor relatively late (mainly due to non-specific and nonsystematic symptomatology); in Romania most cases are diagnosed at stages III or IV. The natural evolution of the disease varies according to the histological type, shape and location at the time of diagnosis, as well as the frequency, onset and especially severity of complications. The complications of gastric cancer are of paramount importance in the evolution, as they are often the direct cause of the patient's death. The prognosis of the disease is closely correlated with the tumoral stage at the time of diagnosis, and surgical treatment still remains the only method to improve survival rate, especially in the early stages.


Related Articles

  • Gastrointestinal Carcinoids: An Increasing Incidence of Rectal Distribution. AVENEL, PAUL; McKENDRICK, ALASDAIR; SILAPASWAN, SUMET; KOLACHALAM, RAMACHANDRA; KESTENBERG, WILLIAM; FERGUSON, LORENZO; JACOBS, MICHAEL J.; GORIEL, YOUSIF; MITTAL, VIJAY // American Surgeon;Jul2010, Vol. 76 Issue 7, p759 

    Carcinoid tumors are slow-growing and usually become symptomatic late in the course of the disease. We evaluated our 10-year experience in the management of GI carcinoid tumors. The records of 133 patients with GI carcinoids were reviewed. The rectum was the most common site for carcinoid tumors...

  • Long-term endoscopic surveillance of patients with Barrett's esophagus. incidence of dysplasia and adenocarcinoma: a prospective study. Conio, Massimo; Blanchi, Sabrina; Lapertosa, Gabriella; Ferraris, Roberto; Sablich, Renato; Marchi, Santino; D'Onofrio, Vittorio; Lacchin, Teresa; Iaquinto, Gaetano; Missale, Guido; Ravelli, Paolo; Cestari, Renzo; Benedetti, Giorgio; Macrì, Giuseppe; Fiocca, Roberto; Munizzi, Francesco; Filiberti, Rosangela // American Journal of Gastroenterology;Sep2003, Vol. 98 Issue 9, p1931 

    : ObjectiveBarrett''s esophagus (BE) is a premalignant condition for which regular endoscopic follow-up is usually advised. We evaluated the incidence of esophageal adenocarcinoma (AC) in patients with BE and the impact of endoscopic surveillance on mortality from AC.: MethodsA cohort of newly...

  • Endoscopic resection in neoplastic lesions of the oesophagus. Pech, Oliver; May, Andrea; Rabenstein, Thomas; Gossner, Liebwin; Ell, Christian // Langenbeck's Archives of Surgery;Dec2003, Vol. 388 Issue 6, p421 

    Background. Endoscopic resection has gained more and more importance in the treatment of early oesophageal neoplasia over the past few years. The choice of the different available techniques depends on the site, the macroscopic type of the tumour and the personal experience of the endoscopist....

  • The Development of Dysplasia and Adenocarcinoma During Endoscopic Surveillance of Barrett's Esophagus. Katz, David; Rothstein, Richard; Schned, Alan; Dunn, John; Seaver, Kim; Antonioli, Donald // American Journal of Gastroenterology;Apr1998, Vol. 93 Issue 4, p536 

    Objective: Periodic endoscopic surveillance is generally recommended for patients with Barrett's esophagus. The optimal follow-up strategy for uncomplicated Barrett's esophagus is controversial, in part because of limited data on the rate of neoplastic progression (through the sequence of...

  • Screening for Barrett's Esophagus. DeVault, Kenneth R. // American Family Physician;5/1/2004, Vol. 69 Issue 9, p2061 

    Focuses on the endoscopic screening of Barrett's esophagus. Association between esophageal adenocarcinoma and gastroesophageal reflux disease; Biopsy of esophageal mucosa required for the diagnosis of Barrett's esophagus; Health risk of the routine biopsy of a squamocolumnar junction.

  • The Endoscopic Perineal Approach to the Presacral Space: An Excision Biopsy. Nieuwenhuis, Dorothée H.; Gagner, Michel; Consten, Esther C. J. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2009, Vol. 19 Issue 6, p799 

    Presacral tumors in adulthood are rare. Several surgical difficulties exist, because of limited access of the presacral area. The patient in this report was a 72-year-old man without comorbidities referred by the urologist because of a presacral mass. Standard diagnostic evaluation disclosed no...

  • Factors Associated with Inadequate Tissue Yield in EUS-FNA for Gastric SMT. Suzuki, Takuto; Arai, Makoto; Matsumura, Tomoaki; Arai, Eiji; Hata, Sachio; Maruoka, Daisuke; Tanaka, Takeshi; Nakamoto, Shingo; Imazeki, Fumio; Yokosuka, Osamu // ISRN Gastroenterology;2011, Special section p1 

    Aims. Our aim was to identify the factors that made the specimens inadequate and nondiagnostic in endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) biopsy of suspected submucosal tumors (SMTs). Methods. From August 2001 to October 2009, 47 consecutive patients with subepithelial...

  • Synchronous colorectal cancer. Nikoloudis, N.; Saliangas, K.; Economou, A.; Andreadis, E.; Siminou, S.; Manna, I.; Georgakis, K.; Chrissidis, T. // Techniques in Coloproctology;Nov2004 Supplement 1, Vol. 8, ps177 

    Synchronous carcinomas of the colon and rectum are of considerable clinical significance because of their frequency, the number of extra tumours missed and the difficulty of preoperative diagnosis. A retrospective evaluation of 283 patients with primary colorectal adenocarcinomas was performed....

  • Endoscopic resection of duodenal neoplasms: a single-center study. Jong Won Sohn; Seong Woo Jeon; Chang Min Cho; Min Kyu Jung; Sung Kook Kim; Dong Seok Lee; Hyuk Su Son; In Kwon Chung // Surgical Endoscopy;Dec2010, Vol. 24 Issue 12, p3195 

    Background: Premalignant duodenal lesions such as adenomas are rare. Surgical resection has been the standard approach to the treatment of these lesions. Endoscopic resection of superficial premalignant or malignant lesions of the gastrointestinal tract is used with increasing frequency. This...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics