Despite a marked decline in the incidence of gastric carcinomain many industrialized nations, cancer of the stomach remainsthe second most common cause of cancer-related deaths in theworld.1 In 1995, 22,800 Americans will be given a diagnosisof gastric carcinoma, and 14,700 will die of the disease.2 Thisreview discusses recent developments in our understanding ofthe epidemiology and pathogenesis of gastric carcinoma, methodsof diagnosis and staging, and approaches to treatment and palliation.
Epidemiology and Biology
Incidence
In 1930, gastric carcinoma was the leading cause of cancer-relateddeaths among American men and the third most common cause amongwomen.3 Over the . . . [Full Text of this Article]
Pathological Features
Precursor Conditions
Genetic and Environmental Risk Factors
Molecular Features
Diagnosis
Clinical Presentation
Diagnostic Studies
Tumor Markers
Screening
Staging and Prognosis
Treatment
Surgery
Radiotherapy
Chemotherapy
Source Information
From the Division of Medical Oncology, Dana-Farber Cancer Institute (C.S.F., R.J.M.); the Channing Laboratory, Department of Medicine, Brigham and Women's Hospital (C.S.F.); and Harvard Medical School (C.S.F., R.J.M.) -- all in Boston.
Address reprint requests to Dr. Fuchs at the Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115.
References
Related Letters:
Gastric Carcinoma
Lowy A. M., Mansfield P. F., Greene F. L., Kullmann F., McClelland M., Fuchs C. S., Mayer R. J.
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N Engl J Med 1995;
333:1426-1428, Nov 23, 1995.
Correspondence
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[Full Text]