Mc. Ortolani et As. Sundblad, GASTRIC-CANCER - CLINICOPATHOLOGICAL CHAR ACTERISTICS AND EXPRESSION OF C-ERBB-2 IN 122 CASES, Medicina, 53(2), 1993, pp. 97-102
A series of 119 patients with 122 gastric carcinomas treated by gastre
ctomy, with a follow up of more than 5 years is presented. There were
80 (67.2%) men and 39 (32.8%) women with a mean age of 66.4 years. In
101 (84.9%) the diagnosis of cancer was endoscopic. Pain was the most
frequent sympton (55.5%). Seventy two (59%) were localized in the antr
um; 26 (21%) were cardial, and 24 (19.7%) were in the body. In 43.4% t
he size was smaller than 5 cm and in 56.6% it measured 5 cm or more. E
ighty nine (73%) were of the intestinal type, 15 (12.3%) were diffuse
and 18 (14.8%) were mixed. Eighty (65.6%) were low histological grade
and 42 (34.4%) were high grade. Ten (9.2%) were early carcinomas and 1
12 (91.8%) advanced carcinomas. An amplification of the c-erbB-2 oncog
en was associated with tumors that were smaller than 5 cm (p = 0.05) a
nd with histological low grade (p = 0.005). A five years survival corr
elated with tumors smaller than 5 cm (p = 0.02), with parietal infiltr
ation not surpassing the muscular layer (p = 0.001), and without lymph
node metastases (p = 0.001). There was no association between surviva
l and amplification of c-erbB-2 oncogen.