Can PEN A Type Early Gastric Cancer be Considered as Advanced Cancer?

Paolo Morgagni, Luca Saragoni, Domenico Tringali, Giuliano La Barba, Giovanni Vittimberga, Massimo Framarini, Andrea Gardini and Giorgio Ercolani

Department of General Surgery, Morgagni-Pierantoni Hospital, Italy
Department of General Surgery, Morgagni-Pierantoni Hospital, Italy
Department of General Surgery, Borgo Trento Hospital, Italy

^*Correspondance to: Paolo Morgagni 

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Abstract:

Although early Gastric Cancer (EGC) generally has a very good prognosis, this is not the case for a subset of patients defined as PEN A type according to Kodama’s microscopic classification. In 530 patients operated on in our surgical department between 1976-2006, the EGC survival rate was 94%. The 5-year survival of Pen A patients was 83%, decreasing to 69.7% when there was lymph node involvement. Moreover, survival rates for PEN A patients continued to decrease with respect to other EGC types (10-year survival 73% vs.94%, respectively). PEN A EGC should thus be considered as advanced cancer.

Keywords:

EGC; PEN A type

Cite the Article:

Morgagni P, Saragoni L, Tringali D, La Barba G, Vittimberga G, Framarini M, et al. Can PEN A Type Early Gastric Cancer be Considered as Advanced Cancer? Clin Oncol. 2017; 2: 1193.