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Gastric Carcinoma: Report of Twelve Patients Surviving Longer Than Fifteen Years

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Abstract

IN the past 30 years a decrease in the incidence of gastric cancer has been noted in the United States.1,2 At the Cleveland Clinic in 1948, 135 new cases were diagnosed, while in 1958 there were only 70 new cases. Further evidence to support a true decrease in the incidence of this disease is obtained from numbers of cases of gastric carcinoma diagnosed per thousand new patients. In 1942, 4.8, in 1948, 4.5, in 1950, 3.2, in 1955, 2.7, and in 1958, 2.7 new diagnoses of gastric carcinoma were made per thousand new patients at the Cleveland Clinic. Along with this steady decrease in incidence has been a striking increase in years of survival of patients who underwent surgery for gastric carcinoma. Hoerr3 stated that in a personal series, 30 of 83 patients (36 per cent) surviving resection for cure were alive and free of disease five years or longer after resection. However, long-term survival after surgical treatment is rare. In 1959, Lubash Cardillo4 reported the case of a patient who survived 15 years and stated they were able to find only four such reports in the English literature.

Although extensive clinical and autopsy studies have been done on patients who died from the disease, few studies have been reported of patients who survived. Because thorough clinical study can provide a sound basis for accurate prognosis and effective treatment, we recently analyzed records of 58 patients who survived five years or longer after surgery for gastric carcinoma.5 In this series . . .


 

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