Journal List > Korean J Gastroenterol > v.60(5) > 1007017

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Park, Song, Kim, Kim, Chun, Lee, Seol, Yoon, Lee, Lee, Bhang, Park, Park, Do, Park, Yoon, Park, Kim, Choi, Shin, and Park: Clinicopathologic Characteristics of Superficial Gastric Cancer Diagnosed at Primary Health Care Institutions in 2011
Original Article
Alimentary Tract
The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 60(5): 285-291.

Published online: 22 November 2012

DOI: https://doi.org/10.4166/kjg.2012.60.5.285

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

Sang Hyun Park, Chi Wook Song, Yun Bae Kim, Young Sun Kim, Hwang Rae Chun, Jung Hyun Lee1, Won Jong Seol2, Hyung Sun Yoon3, Myung Kwon Lee4, Jong Hyup Lee5, Choon Sang Bhang6, Jae Hyung Park7, Young Hwan Park8, Byung Hun Do9, Young Dae Park10, Sang Jeong Yoon11, Chan Wook Park12, Jong Pyo Kim13, Jong Hwan Choi14, Ki Chul Shin15, Soon Min Park16

SOK Sokpeynhan Internal Medical Network, Seoul, Korea.

1SOK Sokpeynhan Internal Medical Network, Busan, Korea.

2SOK Sokpeynhan Internal Medical Network, Incheon, Korea.

3SOK Sokpeynhan Internal Medical Network, Incheon Gyeyang, Korea.

4SOK Sokpeynhan Internal Medical Network, Daegu, Korea.

5SOK Sokpeynhan Internal Medical Network, Deagu Sangin, Korea.

6SOK Sokpeynhan Internal Medical Network, Suwon, Korea.

7SOK Sokpeynhan Internal Medical Network, Ulsan, Korea.

8SOK Sokpeynhan Internal Medical Network, Cheonan, Korea.

9SOK Sokpeynhan Internal Medical Network, Pohang, Korea.

10SOK Sokpeynhan Internal Medical Network, Gumi, Korea.

11SOK Sokpeynhan Internal Medical Network, Daejeon Dunsan, Korea.

12SOK Sokpeynhan Internal Medical Network, Seodaejeon, Korea.

13SOK Sokpeynhan Internal Medical Network, Anyang, Korea.

14SOK Sokpeynhan Internal Medical Network, Uijeongbu, Korea.

15SOK Sokpeynhan Internal Medical Network, Pyeongtaek, Korea.

16SOK Sokpeynhan Internal Medical Network, Seongnam, Korea.

Correspondence to: Sang Hyun Park, SOK Sokpeynhan Internal Medical Clinic, Dongyang Plaza building 4th floor, 40-13 Yongdu-dong, Dongdaemun-gu, Seoul 130-817, Korea. Tel: +82-2-963-1075, Fax: +82-2-969-1075, saintdamiano@hotmail.com

Received 30 May 2012       Revised 19 June 2012       Accepted 28 June 2012

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Superficial gastric cancer, Early gastric cancer, Helicobacter pylori, Primary health care institution, National Health Insurance Corporation

Figures and Tables

Table 1
Age and Sex Distribution of Superficial Gastric Cancer
kjg-60-285-i001

Values are presented as number or number (%).

Table 2
Clinical Manifestations in 218 Patients with Superficial Gastric Cancer
kjg-60-285-i002
Table 3
Macroscopic Types of Superficial Gastric Cancer
kjg-60-285-i003

I, polypoid; IIa, slightly elevated; IIb, flat; IIc, slightly depressed; III, excavated.

Table 4
Anatomical Location of Superficial Gastric Cancer
kjg-60-285-i004

Values are presented as number or number (%).

GC, greater curvature; PW, posterior wall; LC, lesser curvature; AW, anterior wall.

Table 5
Size of Superficial Gastric Cancer
kjg-60-285-i005

Values are presented as number (%).

Table 6
WHO Histologic Cell Type of Superficial Gastric Cancer
kjg-60-285-i006

Values are presented as number (%).

WHO, World Health Organization.

Notes

Financial support: None.

Conflict of interest: None.

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