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Article
October 1954

SMALL GASTRIC CANCER

Author Affiliations

ROCHESTER, MINN.

From The Mayo Clinic and The Mayo Foundation; Section of Medicine (Drs. Comfort and Dornberger), Section of Surgery (Dr. Gray), Section of Surgical Pathology (Dr. Dockerty), Section of Biometry and Medical Statistics (Mr. Gage). From Mayo Foundation; Fellows in Surgery (Drs. Solis and Epperson) and Fellow in Medicine (Dr. McNaughton). The Mayo Foundation is part of the Graduate School of the University of Minnesota.

AMA Arch Intern Med. 1954;94(4):513-524. doi:10.1001/archinte.1954.00250040005002
Abstract

A GASTRIC cancer of small size always arouses the hope that it is more amenable to therapy and possesses a better prognosis than gastric cancer in general. Do the facts justify this hope? Does the small gastric cancer differ in any way from gastric cancers of all sizes? Can it be removed more safely? Are survival rates better for small cancers? Analysis of records of a group of small gastric cancers has in general provided affirmative answers to these questions.

MATERIAL  During the years 1940 to 1945, inclusive, 924 adenocarcinomas of the stomach were treated by gastric resection at the Mayo Clinic. In 226 of these, the greatest diameter measured 4 cm. or less. Thus, gastric cancer of this size accounts for about one quarter of all gastric cancer treated by resection. The importance of this group in the over-all survival rate of patients with gastric cancer is obvious.For

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