All the following indicates early gastric cancer except:: (A) Involvement of mucosa, (B) Involvement of mucosa and submucosa, (C) Involvement of mucosa, submucosa and muscularis, (D) Involvement of mucosa, submucosa and adjacent lymph nodes
Answer is C. Early Gastric Cancer: Adenocarcinoma limited to the mucosa and submucosa of the stomach, regardless of LN status Approx. 10% of patients will have LN metastasis Cancer of the lesser curve is more common than cancer of the greater curvature Treatment: Treatment options: Endoscopic mucosal resection, limited surgical resection or gastrectomy Overall curative rate with adequate gastric resection and lymphadenectomy is 95% Best prognosis Ref: Sabiston 20th edition Pgno: 1222