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Endoscopic resection is widely accepted in Asia as a treatment with good results for early gastric cancer. Whether this experience is generalizable to Western populations is unclear because of differences in gastric cancer between the two populations.
To examine racial/ethnic variability in lymph node metastasis and survival in the U.S., researchers identified 923 patients with diagnoses of T1a gastric tumors using national cancer registry data from 2002 to 2012.
Eight percent of patients had at least one involved lymph node. Stratification by race/ethnicity showed that Asian/Pacific Islanders (APIs) had the lowest rate of lymph node involvement (5%), followed by Hispanics (7%), whites (10%), and blacks (11%). A similar pattern was observed i…