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Gastric Cancer Some Recent Improvements in Diagnosis Based Upon the Japanese Experience

Joao C. Prolla, MD; Seibi Kobayashi, MD; Joseph B. Kirsner, MD
Arch Intern Med. 1969;124(2):238-246. doi:10.1001/archinte.1969.00300180110018.
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The diagnosis of gastric cancer in a phase when it is still a curable lesion remains a most difficult problem. Despite a consideration of the rate of growth and the spread of carcinoma of the stomach, "early" diagnosis of gastric cancer is paramount to any improvement in the continuing grim statistics on five-year survival rates.

In the United States, the progress achieved by surgery and the diagnostic procedures of x-ray examination cytology, and endoscopy has reached a plateau. The five-year survival rate for gastric carcinoma remains low: in a large series from a hospital dedicated to the care of cancer patients, it was 9.1% for the decade 1941 through 1950, and also 9.1% for the period 1951 through 1954. The rate of resectability, an indirect index of early diagnosis, decreased from 43% for the period 1941 through 1950 to 39% for the period 1951 through 1954.1 Another very active


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