Early gastric cancer: diagnosis and surgical treatment

Abstract

Introduction. Gastric cancer is the fifth most common cancer worldwide and the third leading cause of cancer death. Successful detection of Early Gastric Cancer could significantly improve survival up to 90%. Purpose. To find out the importance of diagnosis of EGC to increase the life span of the patient with the best Possible treatment. Material and methods. This research represents a detailed synthesis of bibliographic sources published in scientific databases such as PubMed and Google Scholar in the years 2018-2022. Results. High definition endoscopy is good modality for early diagnosis of gastric cancer, but still misses 20-25% accuracy(fig. 3). Magnifying endoscopy combined with narrow band imaging (NBI) allows for very high accuracy, with sensitivity and specificity of over 95% (fig. 1). Endoscopic resection is an effective treatment of choice in early gastric cancer. If suspected lymph node metastases then gastrectomy is the standard modality of choice. Conclusions. Concluding all methods of diagnosis for early gastric cancer, Endoscopy have advanced to facilitate better assessment(fig. 2). Also with the evaluation of patient illness endoscopic mucosal resection or gastrectomy is the best approach to tackle early gastric cancer(fig. 4).