Korean J Gastroenterol.  2012 Nov;60(5):285-291. 10.4166/kjg.2012.60.5.285.

Clinicopathologic Characteristics of Superficial Gastric Cancer Diagnosed at Primary Health Care Institutions in 2011

Affiliations
  • 1SOK Sokpeynhan Internal Medical Network, Seoul, Korea. saintdamiano@hotmail.com
  • 2SOK Sokpeynhan Internal Medical Network, Busan, Korea.
  • 3SOK Sokpeynhan Internal Medical Network, Incheon, Korea.
  • 4SOK Sokpeynhan Internal Medical Network, Incheon Gyeyang, Korea.
  • 5SOK Sokpeynhan Internal Medical Network, Daegu, Korea.
  • 6SOK Sokpeynhan Internal Medical Network, Deagu Sangin, Korea.
  • 7SOK Sokpeynhan Internal Medical Network, Suwon, Korea.
  • 8SOK Sokpeynhan Internal Medical Network, Ulsan, Korea.
  • 9SOK Sokpeynhan Internal Medical Network, Cheonan, Korea.
  • 10SOK Sokpeynhan Internal Medical Network, Pohang, Korea.
  • 11SOK Sokpeynhan Internal Medical Network, Gumi, Korea.
  • 12SOK Sokpeynhan Internal Medical Network, Daejeon Dunsan, Korea.
  • 13SOK Sokpeynhan Internal Medical Network, Seodaejeon, Korea.
  • 14SOK Sokpeynhan Internal Medical Network, Anyang, Korea.
  • 15SOK Sokpeynhan Internal Medical Network, Uijeongbu, Korea.
  • 16SOK Sokpeynhan Internal Medical Network, Pyeongtaek, Korea.
  • 17SOK Sokpeynhan Internal Medical Network, Seongnam, Korea.

Abstract

BACKGROUND/AIMS
Stomach cancer is prevalent in Korea. The purpose of this study was to evaluate the characteristics of superficial gastric cancers detected at SOK Sokpeynhan Internal Medical Network, the nationwide primary health care institutions.
METHODS
We prospectively analysed the clinicopathologic and endoscopic characteristics of 218 superficial gastric cancer patients diagnosed using gastric endoscopy at SOK network from January 2011 through December 2011.
RESULTS
The mean age was 58.5 years old and male to female ratio was 1.7 : 1. Asymptomatic patients were most common (45.0%). The macroscopic classification revealed that simple types (63.8%) were more common than complex types (36.2%). The most common type was IIc (28.4%) and other types were as follows; IIb (16.1%), IIb+IIc (13.3%), IIa (10.6%), III (9.2%), IIa+IIc (7.3%), IIc+IIa (6.0%), IIc+IIb (5.0%). The most commonly involved sites were the body (53.1%) and greater curvature (32.6%) of the stomach. The size of lesion was less than 1 cm (69.3%) and less than 5 mm (33.5%) in diameter. The most common pathologic type was tubular adenocarcinoma (75.7%). Helicobacter pylori infection rate was 50.2%. Fifty five percent of the cases were diagnosed via endoscopy of National Health Insurance Corporation screenings.
CONCLUSIONS
Superficial gastric cancers in 2011 at primary health care SOK network were different from those of previous reports. Type IIc was most common but type IIb was more prevalent and the body and greater curvature of the stomach were the most commonly involved sites. Therefore, careful observation of the proximal gastric mucosa and mucosal color change is needed.

Keyword

Superficial gastric cancer; Early gastric cancer; Helicobacter pylori; Primary health care institution; National Health Insurance Corporation
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