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胃癌依然是一个世界性的公共卫生问题,尤其是在亚洲。在过去的10年里,胃癌的模式已发生了很大变化。尽管远端胃癌发病率下降,但是在美国、欧洲以及亚洲已经观察到近端胃癌发病率的显著增加[1-2]。两种胃癌类型之间的组织学、肿瘤生物学和临床表现都相当不同。例如,弥漫性组织学模式和侵袭性的临床病症经常出现在近端胃癌。然而,这两种胃癌类型的治疗方法在当前的操作中却是相同的。胃癌的治疗已经演变了2 0年,外科全切除
Gastric cancer is still a worldwide public health problem, especially in Asia. In the past 10 years, the pattern of gastric cancer has undergone great changes. Despite the decrease in the incidence of distal gastric cancer, a significant increase in the incidence of proximal gastric cancer has been observed in the United States, Europe, and Asia [1-2]. Histology, tumor biology, and clinical manifestations are quite different between the two types of gastric cancer. For example, diffuse histological patterns and invasive clinical conditions often occur in proximal gastric cancer. However, these two types of gastric cancer treatment are the same in the current operation. The treatment of gastric cancer has evolved for 20 years and surgical total removal