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Soonchunhyang Med Sci > Volume 26(2); 2020 > Article
Soonchunhyang Medical Science 2020;26(2): 86-90. doi: https://doi.org/10.15746/sms.20.021
Natural History of Untreated Early Gastric Cancer
Tae Sun Ha
Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
Corresponding Author: Tae Sun Ha ,Tel: +82-32-621-5814, Fax: +82-32-621-5016, Email: applips@schmc.ac.kr
Received: September 24, 2020;  Accepted: October 29, 2020.
ABSTRACT
Early gastric cancer (EGC), which is defined as a lesion confined to the mucosa or the submucosal layer, regardless of metastasis to the lymph node, has a good prognosis than advanced gastric cancer (AGC). Because untreated EGC progresses to AGC, it is important to understand the natural history of EGC to determine the duration, prognosis, and treatment options and timing. However, the natural history of EGC remains unclear and different from AGC. We report a case of an untreated EGC patient who progressed to AGC with cancer perforation at 29 months after diagnosis and metastasized to peritoneum at 40 months after diagnosis.
Key words: Early gastric cancer; Natural history; Disease progression
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