Schildberg F W, Stangl M J
Chirurgische Klinik und Poliklinik, LMU München.
Langenbecks Arch Chir Suppl Kongressbd. 1992:118-22.
Data from our own clinical experience as well as overview articles from Japan show an 80%-100% 5-year survival rate for early gastric cancer. An indispensable prerequisite is a resection depending on the type, size and infiltration. For the submucosal type, which shows lymph node metastasis in 10%-25%, the appropriate surgical therapy is resection of the stomach or total gastrectomy with systemic lymphadenectomy of compartments I and II. Distinct types of mucosal carcinoma (small size) may be suitable for local therapy, particularly in high-risk patients.
我们自身临床经验的数据以及来自日本的综述文章显示，早期胃癌的5年生存率为80%-100%。一个必不可少的前提是根据类型、大小和浸润情况进行切除。对于黏膜下型，其淋巴结转移率为10%-25%，合适的手术治疗方法是胃切除或全胃切除，并对Ⅰ和Ⅱ区进行系统性淋巴结清扫。不同类型的黏膜癌（小尺寸）可能适合局部治疗，尤其是在高危患者中。
