Early gastric carcinoma: experience of the Hospital Universitario del Valle, Cali, Colombia
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From 1982 to 1991, 131 successful resections for gastric adenocarcinoma were made at the Hospital Universitario del Valle, Cali, Colombia. Among them, 15 (11.4%) cases of early gastric cancer were found. There were lesions in 11 women and four men, with a mean age of 51.4 years (range: 33-72 years) having nonspecific gastrointestinal symptoms. F1beroptic endoscopy detected lesions in 86.6% of cases. Macroscopically, an ulcer" in the antrum was the commonest appearance. Microscopically, only 2 cases were intramucosal; nodal involvement was seen in 3 cases. All of the cases were associated with chronic atrophic gastritis and intestinal metaplasia; 14 patients are still alive (freedom of disease range: 4 months to 1 O year), while one patient died without evidence of recurrence. A high sense of suspicion would permit more frequent detections.
Registro Población de Cáncer de Cali. Departamento de Patología, Facultad de Salud, Universidad del Valle.
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