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Japanese Journal of Clinical Oncology 30:463-00 (2000)
© 2000 Foundation for Promotion of Cancer Research

Letters to the Editor

The Management of Patients with Gastric Cancer: Can West Meet East?

Peter A. Davis

To the Editor:
Recent reviews of gastric cancer still point out the great disparity between the stage specific survival of patients with gastric cancer in Japan compared with that observed in the West (1). Whereas in Japan early gastric cancer is common and considered a curable disease, in the West the diagnosis of early gastric cancer is a rarity. The disease is still considered by patients and clinicians alike to have a poor prognosis. It is against this background that I became the eighth British surgeon to visit the Gastric Surgery Division of the National Cancer Center Hospital in Tokyo as a visiting fellow of the Foundation for Promotion of Cancer Research, in order to observe the differences in practice in Japan. There have been many proposals put forward by Western surgeons to explain the differences in survival of patients with gastric cancer in Japan. These have been summarized as due . . . [Full Text of this Article]

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