Standardized Treatment for Early Gastric Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 MIAORu-lin ,  LIZi-yu , JIJia-fu

Key Laboratory of Carcinog-enesis and Translational Research(Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China;

Corresponding?author：

LIZi-yu, Email: ligregory@outlook.com

Keywords：

Early gastric cancer; Standardized treatment; Endoscopic surgery; Laparoscopic surgery; Open surgery

DOI：

10.7507/1007-9424.20140004

Video：

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Objective To summary the standard treatment for early gastric cancer. Methods The current early gastric cancer treatment guidelines around the world were analyzed and the standardized treatment patterns for early gastric cancer were concluded. Results The accurate preoperative evaluation for early gastric cancer is the basis of standardized treatment which can be divided into staging evaluation and histological evaluation.The staging evaluation is focused on the gastric wall invasion and lymph node involvement of the tumor while the histologic evaluation emphasize the histological type and grading of the tumor.According to the precise evaluation for early gastric cancer, endoscopic surgery, laparoscopic surgery, open surgery, and multimodal therapy can be applied individually to the patients.Different treatment methods have their indications, but the indications of the therapies in different guidelines are suggested with slight differences. Conclusion In clinical practice, the choice of treatment should be made with comprehensive consideration of diagnosis and individual characteristics of patients to achieve the most benefit on prognosis.

Citation： MIAORu-lin, LIZi-yu, JIJia-fu. Standardized Treatment for Early Gastric Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 16-20. doi: 10.7507/1007-9424.20140004 Copy

1.	鄭朝旭, 鄭榮壽, 陳萬青.中國2009年胃癌發病與死亡分析[J].中國腫瘤, 2013, 22(5):327-332.
2.	陳萬青, 張思維, 鄭榮壽, 等.中國2009年惡性腫瘤發病和死亡分析[J].中國腫瘤, 2013, 22(1):2-12.
3.	Japanese Gastric Cancer Association.Japanese classification of gastric carcinoma:3rd English edition[J].Gastric cancer, 2011, 14(2):101-112.
4.	Jung KW, Park S, Kong HJ, et al.Cancer statistics in Korea:incidence, mortality, survival, and prevalence in 2008[J].Cancer Res Treat, 2011, 43(1):1-11.
5.	Leung WK, Wu MS, Kakugawa Y, et al.Screening for gastric cancer in Asia:current evidence and practice[J].Lancet Oncol, 2008, 9(3):279-287.
6.	Whiting JL, Sigurdsson A, Rowlands DC, et al.The long term results of endoscopic surveillance of premalignant gastric lesions[J].Gut, 2002, 50(3):378-381.
7.	Jeong O, Park YK.Clinicopathological features and surgical treat-ment of gastric cancer in South Korea:the results of 2009 nationwide survey on surgically treated gastric cancer patients[J].J Gastric Cancer, 2011, 11(2):69-77.
8.	Nashimoto A, Akazawa K, Isobe Y, et al.Gastric cancer treated in 2002 in Japan:2009 annual report of the JGCA nationwide registry[J].Gastric Cancer, 2013, 16(1):1-27.
9.	Bu Z, Ji J.A current review of gastric cancer in China[J].Transl Gastrointest Cancer, 2013, 2(S1):1-4.
10.	Washington K.7th edition of the AJCC cancer staging manual:stomach[J].Ann Surg Oncol, 2010, 17(12):3077-3079.
11.	Isozaki H, Okajima K, Ichinona T, et al.Distant lymph node metastasis of early gastric cancer[J].Surg Today, 1997, 27(7):600-605.
12.	Gotoda T, Yanagisawa A, Sasako M, et al.Incidence of lymph node metastasis from early gastric cancer:estimation with a large number of cases at two large centers[J].Gastric Cancer, 2000, 3(4):219-225.
13.	Cho JW.The role of endoscopic ultrasonography in T staging:early gastric cancer and esophageal cancer[J].Clin Endosc, 2013, 46(3):239-242.
14.	Puli SR, Batapati Krishna Reddy J, Bechtold ML, et al.How good is endoscopic ultrasound for TNM staging of gastric cancers? A meta-analysis and systematic review[J].World j Gastroenterol, 2008, 14(25):4011-4019.
15.	Mouri R, Yoshida S, Tanaka S, et al.Usefulness of endoscopic ultrasonography in determining the depth of invasion and indication for endoscopic treatment of early gastric cancer[J].J Clin Gastroenterol, 2009, 43(4):318-322.
16.	Maehara Y, Orita H, Okuyama T, et al.Predictors of lymph node metastasis in early gastric cancer[J].Br J Surg, 1992, 79(3):245-247.
17.	Sano T, Aiko T.New Japanese classifications and treatment guidelines for gastric cancer:revision concepts and major revised points[J].Gastric Cancer, 2011, 14(2):97-100.
18.	Hu B, El Hajj N, Sittler S, et al.Gastric cancer:Classification, histology and application of molecular pathology[J].J Gastrointest Oncol, 2012, 3(3):251-261.
19.	Bosman FT, Carneiro F, Hruban RH, et al.WHO classification of tumours of the digestive system[M].4ed.France:Lyon:IARC Press, 2010.
20.	NCCN Clinical Practice Guidelines in Oncology:Gastric Cancer[M/OL].Ver 2.2013, http://www.nccn.org/.
21.	Waddell T, Verheij M, Allum W, et al.Gastric cancer:ESMO-ESSO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up[J].Ann Oncol, 2013, 24 Suppl 6:vi57-vi63.
22.	Japanese Gastric Cancer Association.Japanese gastric cancer treatment guidelines 2010(ver.3)[J].Gastric Cancer, 2011, 14(2):113-123.
23.	Hirasawa T, Gotoda T, Miyata S, et al.Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated-type early gastric cancer[J].Gastric Cancer, 2009, 12(3):148-152.
24.	Okada K, Fujisaki J, Yoshida T, et al.Long-term outcomes of endoscopic submucosal dissection for undifferentiated-type early gastric cancer[J].Endoscopy, 2012, 44(2):122-127.
25.	中華人民共和國衛生部.胃癌診療規范(2011年版)[M/OL].2011, http://www.moh.gov.cn/mohyzs/s3585/201103/50914.shtml.
26.	Katai H, Sasako M, Fukuda H, et al.Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer:a multicenter phaseⅡtrial (JCOG 0703)[J].Gastric Cancer, 2010, 13(4):238-244.
27.	Kim MC, Kim W, Kim HH, et al.Risk factors associated with complication following laparoscopy-assisted gastrectomy for gastric cancer:a large-scale korean multicenter study[J].Ann Surg Oncol, 2008, 15(10):2692-2700.
28.	Jeong GA, Cho GS, Kim HH, et al.Laparoscopy-assisted total gastrectomy for gastric cancer:a multicenter retrospective analysis[J].Surgery, 2009, 146(3):469-474.
29.	Cho GS, Kim W, Kim HH, et al.Multicentre study of the safety of laparoscopic subtotal gastrectomy for gastric cancer in the elderly[J].Br J Surg, 2009, 96(12):1437-1442.
30.	Song J, Lee HJ, Cho GS, et al.Recurrence following laparoscopy-assisted gastrectomy for gastric cancer:a multicenter retrospective analysis of 1417 patients[J].Ann Surg Oncol, 2010, 17(7):1777-1786.
31.	Park do J, Han SU, Hyung WJ, et al.Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer:a large-scale multicenter retrospective study[J].Surg Endosc, 2012, 26(6):1548-1553.
32.	Huscher CG, Mingoli A, Sgarzini G, et al.Laparoscopic versus open subtotal gastrectomy for distal gastric cancer:five-year results of a randomized prospective trial[J].Ann Surg, 2005, 241(2):232-237.
33.	Siani LM, Ferranti F, De Carlo A, et al.Modulation of the extent of lymphadenectomy in early gastric cancer.Review of the literature and role of laparoscopy[J].Chir Ital, 2009, 61(5-6):551-558.
34.	Songun I, Putter H, Kranenbarg EM, et al.Surgical treatment of gastric cancer:15-year follow-up results of the randomised nationwide Dutch D1D2 trial[J].Lancet Oncol, 2010, 11(5):439-449.
35.	Jiang L, Yang KH, Guan QL, et al.Survival and recurrence free benefits with different lymphadenectomy for resectable gastric cancer:a meta-analysis[J].J Surg Oncol, 2013, 107(8):807-814.

1. 鄭朝旭, 鄭榮壽, 陳萬青.中國2009年胃癌發病與死亡分析[J].中國腫瘤, 2013, 22(5):327-332.
2. 陳萬青, 張思維, 鄭榮壽, 等.中國2009年惡性腫瘤發病和死亡分析[J].中國腫瘤, 2013, 22(1):2-12.
3. Japanese Gastric Cancer Association.Japanese classification of gastric carcinoma:3rd English edition[J].Gastric cancer, 2011, 14(2):101-112.
4. Jung KW, Park S, Kong HJ, et al.Cancer statistics in Korea:incidence, mortality, survival, and prevalence in 2008[J].Cancer Res Treat, 2011, 43(1):1-11.
5. Leung WK, Wu MS, Kakugawa Y, et al.Screening for gastric cancer in Asia:current evidence and practice[J].Lancet Oncol, 2008, 9(3):279-287.
6. Whiting JL, Sigurdsson A, Rowlands DC, et al.The long term results of endoscopic surveillance of premalignant gastric lesions[J].Gut, 2002, 50(3):378-381.
7. Jeong O, Park YK.Clinicopathological features and surgical treat-ment of gastric cancer in South Korea:the results of 2009 nationwide survey on surgically treated gastric cancer patients[J].J Gastric Cancer, 2011, 11(2):69-77.
8. Nashimoto A, Akazawa K, Isobe Y, et al.Gastric cancer treated in 2002 in Japan:2009 annual report of the JGCA nationwide registry[J].Gastric Cancer, 2013, 16(1):1-27.
9. Bu Z, Ji J.A current review of gastric cancer in China[J].Transl Gastrointest Cancer, 2013, 2(S1):1-4.
10. Washington K.7th edition of the AJCC cancer staging manual:stomach[J].Ann Surg Oncol, 2010, 17(12):3077-3079.
11. Isozaki H, Okajima K, Ichinona T, et al.Distant lymph node metastasis of early gastric cancer[J].Surg Today, 1997, 27(7):600-605.
12. Gotoda T, Yanagisawa A, Sasako M, et al.Incidence of lymph node metastasis from early gastric cancer:estimation with a large number of cases at two large centers[J].Gastric Cancer, 2000, 3(4):219-225.
13. Cho JW.The role of endoscopic ultrasonography in T staging:early gastric cancer and esophageal cancer[J].Clin Endosc, 2013, 46(3):239-242.
14. Puli SR, Batapati Krishna Reddy J, Bechtold ML, et al.How good is endoscopic ultrasound for TNM staging of gastric cancers? A meta-analysis and systematic review[J].World j Gastroenterol, 2008, 14(25):4011-4019.
15. Mouri R, Yoshida S, Tanaka S, et al.Usefulness of endoscopic ultrasonography in determining the depth of invasion and indication for endoscopic treatment of early gastric cancer[J].J Clin Gastroenterol, 2009, 43(4):318-322.
16. Maehara Y, Orita H, Okuyama T, et al.Predictors of lymph node metastasis in early gastric cancer[J].Br J Surg, 1992, 79(3):245-247.
17. Sano T, Aiko T.New Japanese classifications and treatment guidelines for gastric cancer:revision concepts and major revised points[J].Gastric Cancer, 2011, 14(2):97-100.
18. Hu B, El Hajj N, Sittler S, et al.Gastric cancer:Classification, histology and application of molecular pathology[J].J Gastrointest Oncol, 2012, 3(3):251-261.
19. Bosman FT, Carneiro F, Hruban RH, et al.WHO classification of tumours of the digestive system[M].4ed.France:Lyon:IARC Press, 2010.
20. NCCN Clinical Practice Guidelines in Oncology:Gastric Cancer[M/OL].Ver 2.2013, http://www.nccn.org/.
21. Waddell T, Verheij M, Allum W, et al.Gastric cancer:ESMO-ESSO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up[J].Ann Oncol, 2013, 24 Suppl 6:vi57-vi63.
22. Japanese Gastric Cancer Association.Japanese gastric cancer treatment guidelines 2010(ver.3)[J].Gastric Cancer, 2011, 14(2):113-123.
23. Hirasawa T, Gotoda T, Miyata S, et al.Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated-type early gastric cancer[J].Gastric Cancer, 2009, 12(3):148-152.
24. Okada K, Fujisaki J, Yoshida T, et al.Long-term outcomes of endoscopic submucosal dissection for undifferentiated-type early gastric cancer[J].Endoscopy, 2012, 44(2):122-127.
25. 中華人民共和國衛生部.胃癌診療規范(2011年版)[M/OL].2011, http://www.moh.gov.cn/mohyzs/s3585/201103/50914.shtml.
26. Katai H, Sasako M, Fukuda H, et al.Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer:a multicenter phaseⅡtrial (JCOG 0703)[J].Gastric Cancer, 2010, 13(4):238-244.
27. Kim MC, Kim W, Kim HH, et al.Risk factors associated with complication following laparoscopy-assisted gastrectomy for gastric cancer:a large-scale korean multicenter study[J].Ann Surg Oncol, 2008, 15(10):2692-2700.
28. Jeong GA, Cho GS, Kim HH, et al.Laparoscopy-assisted total gastrectomy for gastric cancer:a multicenter retrospective analysis[J].Surgery, 2009, 146(3):469-474.
29. Cho GS, Kim W, Kim HH, et al.Multicentre study of the safety of laparoscopic subtotal gastrectomy for gastric cancer in the elderly[J].Br J Surg, 2009, 96(12):1437-1442.
30. Song J, Lee HJ, Cho GS, et al.Recurrence following laparoscopy-assisted gastrectomy for gastric cancer:a multicenter retrospective analysis of 1417 patients[J].Ann Surg Oncol, 2010, 17(7):1777-1786.
31. Park do J, Han SU, Hyung WJ, et al.Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer:a large-scale multicenter retrospective study[J].Surg Endosc, 2012, 26(6):1548-1553.
32. Huscher CG, Mingoli A, Sgarzini G, et al.Laparoscopic versus open subtotal gastrectomy for distal gastric cancer:five-year results of a randomized prospective trial[J].Ann Surg, 2005, 241(2):232-237.
33. Siani LM, Ferranti F, De Carlo A, et al.Modulation of the extent of lymphadenectomy in early gastric cancer.Review of the literature and role of laparoscopy[J].Chir Ital, 2009, 61(5-6):551-558.
34. Songun I, Putter H, Kranenbarg EM, et al.Surgical treatment of gastric cancer:15-year follow-up results of the randomised nationwide Dutch D1D2 trial[J].Lancet Oncol, 2010, 11(5):439-449.
35. Jiang L, Yang KH, Guan QL, et al.Survival and recurrence free benefits with different lymphadenectomy for resectable gastric cancer:a meta-analysis[J].J Surg Oncol, 2013, 107(8):807-814.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Standardized Treatment for Early Gastric Cancer

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