Diagnostic and prognostic problems in early XXXX .

@entity1 @entity353 @entity417 @entity4988 @entity5 @entity448 @entity2210 @entity158 @entity356
Although common in Japan, early @entity356 is rarely seen in Western countries and generally accounts for only 7 to 10 percent of all @entity356 . Eleven @entity1 with early @entity356 seen over a 10 year period have been reviewed for clinical and pathologic features, method of diagnosis, treatment, and prognosis. The symptoms usually consisted of vague @entity158 or @entity2210 , but @entity448 , @entity353 , @entity417 , and @entity4988 were not commonly seen. Barium meal examination was not helpful in the diagnosis in 50 percent of the @entity1 . The diagnosis was made by endoscopic biopsy of abnormal areas of the stomach, although in 6 of 11 @entity1 , there was no macroscopic suspicion of @entity5 . All @entity1 were treated by surgical resection. The @entity5 was confined to the mucosa in five @entity1 and had infiltrated the submucosa in six @entity1 . The lymph nodes were free of @entity5 in every @entity1 . At last follow-up, seven @entity1 had survived more than 5 years after operation and were well, although recurrent @entity5 developed in two @entity1 3 and 4 years postoperatively but were detected early by endoscopic surveillance. Early @entity356 has a good prognosis after surgical resection, but the symptoms are vague and the diagnostic tests can be misleading. A vigorous approach to investigation, treatment, and follow-up is necessary to achieve satisfactory results.
