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http://dx.doi.org/10.4166/kjg.2009.54.2.67

Gastric Cancer Screening and Diagnosis  

Choi, Il-Ju (Center for Gastric Cancer, National Cancer Center)
Publication Information
The Korean Journal of Gastroenterology / v.54, no.2, 2009 , pp. 67-76 More about this Journal
Abstract
Gastric cancer is the most common cancer in Korea and has overall survival rate of around 50%. Gastric cancer detected in early stage can be cured by endoscopic resection or less invasive surgical treatment and the subsequent prognosis is excellent. National cancer screening program for gastric cancer has been available for several years. The evaluation for efficacy of our screening strategy is strongly needed in terms of mortality reduction and cost-effectiveness. Accurate diagnosis and staging evaluation is important for proper management and prediction of a patient’s prognosis. It is recommended to understand the advantages and limitations of currently available guidelines and diagnostic modalities. The 7th edition of gastric cancer staging system from AJCC may have significant effect on our knowledge and patient management.
Keywords
Gastric cancer; Screening; Diagnosis; Staging;
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Times Cited By SCOPUS : 8
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1 Ministry for Health, Welfare and Family Affairs. Annual Report of the Korea Central Cancer Registry. 2008.
2 Abe Y, Mitsushima T, Nagatani K, Ikuma H, Minamihara Y. Epidemiological evaluation of the protective effect for dying of stomach cancer by screening programme for stomach cancer with applying a method of case-control study--a study of a efficient screening programme for stomach cancer. Jpn J Gastroenterol 1995;92:836-845.
3 Mori Y, Arita T, Shimoda K, Yasuda K, Yoshida T, Kitano S. Effect of periodic endoscopy for gastric cancer on early detection and improvement of survival. Gastric Cancer 2001; 4:132-136.   DOI   ScienceOn
4 The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc 2003;58(suppl 6):S3-S43.   DOI   PUBMED   ScienceOn
5 Japenese Research Society for Gastric Cancer. Japenese classification of gastric carcinoma; general rules for the gastric cancer study. 1st ed. Tokyo: Kanehara, 1995:1-104.
6 Shen JY, Kim S, Cheong JH, et al. The impact of total retrieved lymph nodes on staging and survival of patients with pT3 gastric cancer. Cancer 2007;110:745-751.   DOI   ScienceOn
7 Hur J, Park MS, Lee JH, et al. Diagnostic accuracy of multidetector row computed tomography in T- and N staging of gastric cancer with histopathologic correlation. J Comput Assist Tomogr 2006;30:372-377.   DOI   ScienceOn
8 Kim HJ, Kim AY, Oh ST, et al. Gastric cancer staging at multi-detector row CT gastrography: comparison of transverse and volumetric CT scanning. Radiology 2005;236:879-885.   DOI   ScienceOn
9 Chung IK. Debate on ESD: EUS, PET/CT. Korean J Gastrointest Endosc 2009;38(suppl 1):S177-S183.
10 Mukai K, Ishida Y, Okajima K, Isozaki H, Morimoto T, Nishiyama S. Usefulness of preoperative FDG PET for detection of gastric cancer. Gastric Cancer 2006;9:192-196.   DOI   ScienceOn
11 Lee KJ, Inoue M, Otani T, Iwasaki M, Sasazuki S, Tsugane S; JPHC Study Group. Gastric cancer screening and subsequent risk of gastric cancer: a large-scale population-based cohort study, with a 13-year follow-up in Japan. Int J Cancer 2006;118:2315-2321.   DOI   ScienceOn
12 Fleming ID, Cooper JS, Henson DE, et al. AJCC cancer staging manual. 5th ed. Philadelphia: Lippincott-Raven, 1997.
13 Hamilton SR, Aaltonen LA. WHO classification of tumours. Pathology and genetics. Tumours of the digestive system. Lyon: IARC Press, 2000.
14 Kim JH, Kim HY, Kim NY, et al; Korea H. pylori Study Group, South Korea. Seroepidemiological study of Helicobacter pylori infection in asymptomatic people in South Korea. J Gastroenterol Hepatol 2001;16:969-975.   DOI   ScienceOn
15 Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma. 2nd English edition. Gastric Cancer 1998;1:10-24.   DOI   PUBMED
16 Inaba S, Hirayama H, Nagata C, et al. Evaluation of a screening program on reduction of gastric cancer mortality in Japan: preliminary results from a cohort study. Prev Med 1999;29:102-106.   DOI   ScienceOn
17 Marchet A, Mocellin S, Ambrosi A, et al; Italian Research Group for Gastric Cancer (IRGGC). The ratio between metastatic and examined lymph nodes (N ratio) is an independent prognostic factor in gastric cancer regardless of the type of lymphadenectomy: results from an Italian multicentric study in 1853 patients. Ann Surg 2007;245:543-552.   DOI   ScienceOn
18 Willis S, Truong S, Gribnitz S, Fass J, Schumpelick V. Endoscopic ultrasonography in the preoperative staging of gastric cancer: accuracy and impact on surgical therapy. Surg Endosc 2000;14:951-954.   DOI   ScienceOn
19 D'Elia F, Zingarelli A, Palli D, Grani M. Hydro-dynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases. Eur Radiol 2000;10:1877-1885.   DOI   ScienceOn
20 Miyamoto A, Kuriyama S, Nishino Y, et al. Lower risk of death from gastric cancer among participants of gastric cancer screening in Japan: a population-based cohort study. Prev Med 2007;44:12-19.   DOI   ScienceOn
21 Wong BC, Lam SK, Wong WM, et al; China Gastric Cancer Study Group. Helicobacter pylori eradication to prevent gastric cancer in a high-risk region of China: a randomized controlled trial. JAMA 2004;291:187-194.   DOI   ScienceOn
22 Hisamichi S, Sugawara N. Mass screening for gastric cancer by X-ray examination. Jpn J Clin Oncol 1984;14:211-223.   PUBMED
23 Correa P. Human gastric carcinogenesis: a multistep and multifactorial process--First American Cancer Society Award Lecture on Cancer Epidemiology and Prevention. Cancer Res 1992;52:6735-6740.   PUBMED
24 Hundt W, Braunschweig R, Reiser M. Assessment of gastric cancer: value of breathhold technique and two-phase spiral CT. Eur Radiol 1999;9:68-72.   DOI   ScienceOn
25 Bentrem D, Gerdes H, Tang L, Brennan M, Coit D. Clinical correlation of endoscopic ultrasonography with pathologic stage and outcome in patients undergoing curative resection for gastric cancer. Ann Surg Oncol 2007;14:1853-1859.   DOI   ScienceOn
26 Tashiro A, Sano M, Kinameri K, Fujita K, Takeuchi Y. Comparing mass screening techniques for gastric cancer in Japan. World J Gastroenterol 2006;12:4873-4874.   PUBMED
27 Kim CY, Yang DH. Adjustment of N stages of gastric cancer by the ratio between the metastatic and examined lymph nodes. Ann Surg Oncol 2009;16:1868-1874.   DOI   ScienceOn
28 Fukao A, Tsubono Y, Tsuji I, HIsamichi S, Sugahara N, Takano A. The evaluation of screening for gastric cancer in Miyagi Prefecture, Japan: a population-based case-control study. Int J Cancer 1995;60:45-48.   DOI   ScienceOn
29 Riecken B, Pfeiffer R, Ma JL, et al. No impact of repeated endoscopic screens on gastric cancer mortality in a prospectively followed Chinese population at high risk. Prev Med 2002;34:22-28.   DOI   ScienceOn
30 Oshima A, Hirata N, Ubukata T, Umeda K, Fujimoto I. Evaluation of a mass screening program for stomach cancer with a case-control study design. Int J Cancer 1986;38:829-833.   DOI   PUBMED
31 Hosokawa O, Miyanaga T, Kaizaki Y, et al. Decreased death from gastric cancer by endoscopic screening: association with a population-based cancer registry. Scand J Gastroenterol 2008;43:1112-1115.   DOI   ScienceOn
32 Bhandari S, Shim CS, Kim JH, et al. Usefulness of three-dimensional, multidetector row CT (virtual gastroscopy and multiplanar reconstruction) in the evaluation of gastric cancer: a comparison with conventional endoscopy, EUS, and histopathology. Gastrointest Endosc 2004;59:619-626.   DOI   ScienceOn
33 Ganpathi IS, So JB, Ho KY. Endoscopic ultrasonography for gastric cancer: does it influence treatment? Surg Endosc 2006;20:559-562.   DOI   ScienceOn
34 Kim JP, Hur YS, Yang HK. Lymph node metastasis as a significant prognostic factor in early gastric cancer: analysis of 1,136 early gastric cancers. Ann Surg Oncol 1995;2:308-313.   DOI   ScienceOn
35 Sobin LH, Wittekind C. UICC: TNM classification of malignant tumours. 6th ed. New York: Wiley-Liss, 2002:65-68
36 Mizoue T, Yoshimura T, Tokui N, et al. Japan Collaborative Cohort Study Group. Prospective study of screening for stomach cancer in Japan. Int J Cancer 2003;106:103-107.   DOI   ScienceOn
37 Choi KS, Kwak MS, Lee HY, Jun JK, Hahm MI, Park EC. Screening for gastric cancer in Korea: population-based preferences for endoscopy versus upper gastrointestinal series. Cancer Epidemiol Biomarkers Prev 2009;18:1390-1398.   DOI   ScienceOn
38 Lee JM, Jung SE. Imaging diagnosis of gastric cancer: CT scan. J Korean Radiol Soc 2002;46:511-519.   DOI
39 Habermann CR, Weiss F, Riecken R, et al. Preoperative staging of gastric adenocarcinoma: comparison of helical CT and endoscopic US. Radiology 2004;230:465-471.   DOI   ScienceOn
40 Lu Y, Liu C, Zhang R, et al. Prognostic significance of subclassification of pT2 gastric cancer: a retrospective study of 847 patients. Surg Oncol 2008;17:317-322.   DOI   ScienceOn
41 Wittekind C. News in the TNM classification. In WHO-CC for gastric cancer. 12th international seminar. 6th general assembly. Seoul, Korea, 1996.
42 Gates TJ. Screening for cancer: evaluating the evidence. Am Fam Physician 2001;63:513-522.   PUBMED
43 Kong SH, Park DJ, Lee HJ, et al. Clinicopathologic features of asymptomatic gastric adenocarcinoma patients in Korea. Jpn J Clin Oncol 2004;34:1-7.   DOI   ScienceOn
44 Nam SY, Choi IJ, Park KW, et al. Effect of repeated endoscopic screening on the incidence and treatment of gastric cancer in health screenees. Eur J Gastroenterol Hepatol 2009;21:855-860.   DOI   ScienceOn
45 Park DJ, Kong SH, Lee HJ, et al. Subclassification of pT2 gastric adenocarcinoma according to depth of invasion (pT2a vs pT2b) and lymph node status (pN). Surgery 2007;141:757-763. Epub 2007 May 4.   DOI   ScienceOn
46 Takao M, Fukuda T, Iwanaga S, Hayashi K, Kusano H, Okudaira S. Gastric cancer: evaluation of triphasic spiral CT and radiologic-pathologic correlation. J Comput Assist Tomogr 1998;22:288-294.   DOI   ScienceOn
47 Xi WD, Zhao C, Ren GS. Endoscopic ultrasonography in preoperative staging of gastric cancer: determination of tumor invasion depth, nodal involvement and surgical resectability. World J Gastroenterol 2003;9:254-257.   DOI   PUBMED
48 Kim WH, Park CK, Kim YB, et al; The Gastrointestinal Pathology Study Group of the Korean Society of Pathologists. A standardized pathology report for gastric cancer. Korean J Pathol 2005;39:106-113.
49 Tsubono Y, Hisamichi S. Screening for gastric cancer in Japan. Gastric Cancer 2000;3:9-18.   DOI   ScienceOn
50 Oshima A, Hanai A, Fujimoto I. Evaluation of a mass screening program for stomach cancer. Natl Cancer Inst Monogr 1979;53:181-186.   PUBMED
51 Kim SK, Kang KW, Lee JS, et al. Assessment of lymph node metastases using 18F-FDG PET in patients with advanced gastric cancer. Eur J Nucl Med Mol Imaging 2006;33: 148-155.   DOI   PUBMED
52 Ministry for Health, Welfare and Family Affairs & National Cancer Center. Cancer Facts and Figures. 2008.