It is the second cause of death in men and the third one in women. Although incidence of gastric cancer has fallen dramatically, remains being a severe public health problem, and it is the third cause of death worldwide. Early gastric cancer egc is defined as invasive gastric cancer that invades no more deeply than the submucosa, irrespective of lymph node metastasis. Gastric cancer has proven to be a public health problem, in costa rica according to public health. Gastric cancer is the second cause of death by cancer worldwide. Although the incidence rate has been declining, it is still a major public health problem still. Seom guidelines for the treatment of gastric cancer 2015. The overall mortality rate of gastric cancer has declined steadily year 2005.
Symptoms and findings in the physical examen of gastric cancer patients are usually nonspecific and lead to a late diagnosis. Arnold on behalf of the esmo guidelines committee et al. Histologic classification may predict tumor biology, clinical behavior, and outcome. Gastric cancer, medical anthropology, culture, health, nourishment, ecosystemic. Only in developed oriental countries japan, south korea there are screening programs for early detection, that have shown decreased mortality rates from this disease. Cancer gastrico revista medica clinica las condes elsevier. Relevant articles about the therapeutic approach of treatment of the gastric cancer from the past 5 years were selected. 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. Perfil clinicoepidemiologico do cancer gastrico precoce em. 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. Esmo clinical practice guidelines for diagnosis, treatment and followup. The world health organization points out that gastric cancer is a frequent neoplasia in the contemporary world. Gastric cancer is the leading cause of death from malignancy in chile. A metaanalysis of radomized cona metaanalysis of radomized controlled trials that compared laparoscopyassisted and open distal gastrectomy for early gastric cancer.
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