Abstract
The status of lymph node metastasis, according to clinicopathological factors such as the depth of cancer, histologic type, macroscopic type and tumor size, was evaluated in 33 patients with solitary early gastric cancer located in the fundus.No lymph node metastasis was found in mucosal cancer. Metastasis within first group nodes was noted in submucosal cancer that was less than 2.0 cm in diameter, but metastasis was present in second group nodes in submucosal cancer that was more than 2.1 cm in diameter. Therefore, proximal gastrectomy is the treatment of choice for early gastric cancer located in the fundus. Lymph node dissection of D1 was suitable for all mucosal cancers and submucosal cancers that were less than 2.0 cm in diameter. Moreover, it is necessary to undertake D1 dissection, including No.7 and No.11 lymph nodes, for submucosal cancer that is more than 2.1 cm in diameter.
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