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ICD-10: C00D48 Neoplasms

(C15C26) Malignant neoplasms, digestive organs


(C16) Malignant neoplasm of Stomach
(C16.0) Cardia
(C16.1) Fundus of stomach
(C16.2) Body of stomach
(C16.3) Pyloric antrum
(C16.4) Pylorus
(C16.5) Lesser curvature of stomach, unspecified
(C16.6) Greater curvature of stomach, unspecified
(C16.8) Overlapping lesion of stomach
(C16.9) Stomach, unspecified



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Age-standardized death from stomach cancer per 100,000 inhabitants in 2004.

100000
20.1 /2005/.
50-60
40-50 25% .
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73.5-85%
30-40%
65-80%
6-8%
16%

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1983 Warren Marshall


Helicobacter pylori .
11 1994
H.pylori
. Helicobacter pylori (-),

70-80%,
70-90%-
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15-20

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Krukenberg's tumor


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15-40%

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Early Gastric Cancer

Asymptomatic or silent
Peptic ulcer symptoms
Nausea or vomiting
Anorexia
Early satiety
Abdominal pain
Gastrointestinal blood loss
Weight loss
Dysphagia

80%
10%
8%
8%
5%
2%
<2%
<2%
<1%

Advanced Gastric Cancer

Weight loss
Abdominal pain
Nausea or vomiting
Anorexia
Dysphagia
Gastrointestinal blood loss
Early satiety
Peptic ulcer symptoms
Abdominal mass or fullness
Asymptomatic or silent

60%
50%
30%
30%
25%
20%
20%
20%
5%
<5%



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Esophagogastroduodenoscopy
Endoscopic Ultrasonography
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Endoscopic image of early stage of the stomach cancer. Its histology was poorly differentiated adno carcinoma
with signet ring cells.Left above=Normal, right above=FICE, left low=acetate stained, right low= AIM stained

Endoscopic Ultrasonography

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Distal GC

Linitis plastica

Proximal GC


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CAT scan of a patient with carcinoma of stomach and


bilobar liver metastases


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Serum carcinoembryonic antigen (CEA)
arbohydrate antigen (CA) 19-9


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Proximal subtotal gastroectomy / 2/3-
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Distal subtotal gastroectomy / 2/3-
/




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Eradication of Helicobacter pylori
Antioxidants
Aspirin and Nonsteroidal Anti-inflammatory
Drugs
Green Tea

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