In the Western Hemisphere, R0 resection is possible in approximately 50% to 80% of patients.
The median survival of patients who undergo an R0 resection is approximately 25 months, and 5year survival rates range from 30% to 37%.
It is possible that in the coming decades these changing trends will also occur in South America and Asia.
Nearly 70% to 80% of resected gastric carcinoma specimens have metastases in the regional lymph nodes. Thus, it is common to encounter patients with advanced gastric carcinoma at the outset.
Southern Africa
Central America
Male Female
Male Female
11.5 4.3
18.6 13.3
Almost 40% of cases occur in China .
Pazdur R et al. Cancer management: A multidisciplinary approach. 6th edition,2002
Patients with apparent locoregional disease can be further classified: (1) those who are medically fit and whose cancer is resectable, (2) those who are medically fit but whose cancer is unresectable, and (3) those who are inoperable (medically unfit).
