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Gastric carcinoma in the young
Author(s) -
Tso Paul L.,
Bringaze Walter L.,
Dauterive Alton H.,
Correa Pelayo,
Jr Isidore Cohn
Publication year - 1987
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19870401)59:7<1362::aid-cncr2820590722>3.0.co;2-0
Subject(s) - medicine , stomach , stage (stratigraphy) , carcinoma , biopsy , endoscopy , disease , surgery , gastric carcinoma , adenocarcinoma , gastroenterology , cancer , paleontology , biology
Thirty‐eight cases of gastric carcinoma in patients 35‐years‐old and younger, occurring in the period 1948 to 1983, are reviewed. They comprised 2.2% of 1710 cases in all ages for the same 35 year period at the Charity Hospital. Women were afflicted as commonly as men. Blacks outnumbered whites 2.9:1.0. Obstruction, pain, and weight loss of relatively short duration were prominent symptoms. Tumors tended to be located distally in the stomach, and scirrhous in appearance. Histologically, diffuse type lesions were more common than intestinal or other type tumors. Radiographic evidence of disease was usually present in patients undergoing upper gastrointestinal series. Endoscopy with biopsy was a valuable diagnostic tool. Resectability in this group was not less than that achieved for all ages, however, only one patient has survived for five years. Advanced stage lesions predominated and were associated with poor survival. Earlier stage lesions in this age group appear to bear a more favorable prognosis.