Environmental factors are involved in its development, standing out helicobacter pylori infection. Arnold on behalf of the esmo guidelines committee et al. The gastric cancer guidelines recommend treatment of gastric cancer with a macroscopic margin from the edge of the tumor to the stomach section of at least 5 cm 1,15,16. Diagnosis upper endoscopy with biopsy sampling is considered the gold standard in gastric cancer diagnosis and can be complemented with additional imaging techniques such as endoscopic ultrasound or ct scan for tumor staging.
Esmo clinical practice guidelines for diagnosis, treatment and followup. Symptoms and findings in the physical examen of gastric cancer patients are usually nonspecific and lead to a late diagnosis. Epidemiological information and knowledge about this cancer is abundant. Only in developed oriental countries japan, south korea there are screening programs for early detection, that have shown decreased mortality rates from this disease. Gastric cancer is usually asymptomatic and when symptoms appear it usually reflects an advanced disease. Cancer gastrico revista medica clinica las condes elsevier. Histologic classification may predict tumor biology, clinical behavior, and outcome. A metaanalysis of radomized cona metaanalysis of radomized controlled trials that compared laparoscopyassisted and open distal gastrectomy for early gastric cancer. Globally, gastric adenocarcinoma, with nearly one million incident cases annually, is the second leading cause of global cancer mortality and the leading cause of infectionassociated cancer death. There are several risk factors associated to the development of gastric cancer in specific regions of the world. Besides, the ways to face this disease are analyzed, and it is emphasized in.
Although incidence of gastric cancer has fallen dramatically, remains being a severe public health problem, and it is the third cause of death worldwide. Worldwide, it is the second neoplasia in incidence after lung cancer. Gastric cancer, medical anthropology, culture, health, nourishment, ecosystemic. Gastric cancer is the second cause of death by cancer worldwide. Gastric cancer has proven to be a public health problem, in costa rica according to public health. The world health organization points out that gastric cancer is a frequent neoplasia in the contemporary world. Early gastric cancer egc is defined as invasive gastric cancer that invades no more deeply than the submucosa, irrespective of lymph node metastasis. Seom guidelines for the treatment of gastric cancer 2015. It is the second cause of death in men and the third one in women. According to the lauren classification, the disease is divided into 2 types, diffuse and intestinal, and the latter has a better prognosis. Although the incidence rate has been declining, it is still a major public health problem still. A microscopic involvement of resection margins is a factor for worse prognosis that increases risk.
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