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Tumors of Stomach Lu Ning Asist professor The General Surgery Dep.
Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gastric Carcinoma: Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Incidence of gastric carcinoma 16.9 6.8 14.1 6.0 3.9 1.5 28.9 26.4 12.4 5.6 8.0 3.5 51.7 21.9 7.3 4.3 52.8 25.3 20.4 11.5 Male (top) and female age standardised rates per 100,000 per year black white 85.8 38.9
Gastric cancer ,[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Junctional cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Borrmann System
ADENOCARCINOMA OF THE STOMACH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADENOCARCINOMA OF THE STOMACH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adenocarcinoma – Lauren classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lauren System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gastric Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
T stage (UICC TNM 2002) T4 T3 T2a T1 Adjacent structure T2b
T stage (UICC TNM 2002) Tumor invades adjacent structures T4 Tumor penetrates serosa (visceral peritoneum) without invasion of adjacent structures T3 Tumor invades subserosa T2b Tumor invades muscularis propria T2a Tumor invades muscularis propria or subserosa T2 Tumor invades lamina propria or submucosa T1
N & M stage (UICC TNM 2002) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early (T1) gastric cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current incidence of early gastric cancer ,[object Object],[object Object]
Clinical Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical Presentation
Guidelines for referral ,[object Object],[object Object],[object Object],[object Object]
Referral for endoscopy (NICE 2004) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Referral for endoscopy (NICE 2004) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NICE dyspepsia guidance ,[object Object],[object Object]
Updated NICE guidance (August 2005) ,[object Object]
Investigations for patients with gastric cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT scanning ,[object Object],[object Object]
Treatment of gastric cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endsocopic mucosal resection ,[object Object],[object Object],[object Object],[object Object]
Gastric carcinoma: Surgical treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gastric carcinoma: Lymphadenectomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Lymph node metastasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach resection ,[object Object],[object Object],[object Object],[object Object]
 
 
Gastric carcinoma: Lymphadenectomy ,[object Object],[object Object],[object Object],[object Object]
Results of therapy – stomach cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],Sue Ling et al (1993) BMJ
Multimodal therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Palliative chemotherapy ,[object Object],[object Object],[object Object]
Consequences of surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stromal tumours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stromal tumours ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stromal tumours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glivec ,[object Object],[object Object],[object Object]
Gastric lymphoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Cancergastri2008

  • 1. Tumors of Stomach Lu Ning Asist professor The General Surgery Dep.
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  • 4. Incidence of gastric carcinoma 16.9 6.8 14.1 6.0 3.9 1.5 28.9 26.4 12.4 5.6 8.0 3.5 51.7 21.9 7.3 4.3 52.8 25.3 20.4 11.5 Male (top) and female age standardised rates per 100,000 per year black white 85.8 38.9
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  • 14. T stage (UICC TNM 2002) T4 T3 T2a T1 Adjacent structure T2b
  • 15. T stage (UICC TNM 2002) Tumor invades adjacent structures T4 Tumor penetrates serosa (visceral peritoneum) without invasion of adjacent structures T3 Tumor invades subserosa T2b Tumor invades muscularis propria T2a Tumor invades muscularis propria or subserosa T2 Tumor invades lamina propria or submucosa T1
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