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. Perfil clinicoepidemiologico do cancer gastrico precoce em. Only in developed oriental countries japan, south korea there are screening programs for early detection, that have shown decreased mortality rates from this disease. Seom guidelines for the treatment of gastric cancer 2015. Environmental factors are involved in its development, standing out helicobacter pylori infection. Histologic classification may predict tumor biology, clinical behavior, and outcome. Gastric cancer is usually asymptomatic and when symptoms appear it usually reflects an advanced disease. There are several risk factors associated to the development of gastric cancer in specific regions of the world. Relevant articles about the therapeutic approach of treatment of the gastric cancer from the past 5 years were selected. Arnold on behalf of the esmo guidelines committee et al. Esmo clinical practice guidelines for diagnosis, treatment and followup.
Cancer gastrico revista medica clinica las condes elsevier. Gastric cancer, medical anthropology, culture, health, nourishment, ecosystemic. Early gastric cancer egc is defined as invasive gastric cancer that invades no more deeply than the submucosa, irrespective of lymph node metastasis. 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. A microscopic involvement of resection margins is a factor for worse prognosis that increases risk. 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. The world health organization points out that gastric cancer is a frequent neoplasia in the contemporary world. Epidemiological information and knowledge about this cancer is abundant. Symptoms and findings in the physical examen of gastric cancer patients are usually nonspecific and lead to a late diagnosis. Gastric cancer is the leading cause of death from malignancy in chile. Although incidence of gastric cancer has fallen dramatically, remains being a severe public health problem, and it is the third cause of death worldwide.
Besides, the ways to face this disease are analyzed, and it is emphasized in. 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. Although the incidence rate has been declining, it is still a major public health problem still. A metaanalysis of radomized cona metaanalysis of radomized controlled trials that compared laparoscopyassisted and open distal gastrectomy for early gastric cancer. Worldwide, it is the second neoplasia in incidence after lung cancer.
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