Peiper H J, Castrup H J
Langenbecks Arch Chir. 1982;358:73-8. doi: 10.1007/BF01271758.
Early gastric cancer, i.e., a tumor of intestinal or diffuse cell type confined to the mucosa or submucosa, has so far been found in only 6% of all cases of gastric carcinoma in Europe, whereas the Japanese report a percentage of 30%. This tumor stage has a very good prognosis with a survival rate of 95% or 87%. If the tumor lies in the distal half of the stomach, a subtotal gastrectomy is justified, whereas we recommend total gastrectomy in a more proximal localization. In exceptional cases such as a polypous tumor situated near the cardia, an endoscopic resection or local excision may be considered.
早期胃癌，即局限于黏膜或黏膜下层的肠型或弥漫型细胞肿瘤，目前在欧洲所有胃癌病例中仅占6%，而日本报告的比例为30%。该肿瘤分期预后非常好，生存率为95%或87%。如果肿瘤位于胃的远端半部，行胃次全切除术是合理的，而对于更靠近近端的部位，我们建议行全胃切除术。在特殊情况下，如位于贲门附近的息肉状肿瘤，可考虑内镜切除或局部切除。
