A124 CHARACTERISTICS OF GASTRIC CANCER IN BRITISH COLUMBIA
Bibliographic record
Abstract
Abstract Background Gastric cancer remains a significant global health concern. In Asia, the prevalence of H. Pylori (HP) infection has led to well described risk factors in a more homogenous populace. In contrast, British Columbia presents a more diverse population, yet there is limited data on the specific characteristics of gastric cancer in this region. Aims 1. Compare the distribution and characteristics of histological types of gastric cancer using both the Lauren and Japanese classification. 2. Compare early-stage gastric cancers (T1) and advanced stages, focusing on the effectiveness of early detection and treatment approaches. Methods We conducted a retrospective analysis of patients diagnosed with gastric cancer between 2012 and 2024 from 5 major centers in the Greater Vancouver area. This includes patients from the interior of British Columbia. Patients with gastroesophageal junction (GEJ) or gastric cardia lesions were excluded. For each patient, demographic data (including ethnicity), lesion characteristics, and risk factors were collected. HP positivity was confirmed by histological inspection or a prior positive non-invasive test. Data were analyzed using standard stastical methods. Results The initial search identified 297 patients, with 167 meeting the inclusion criteria (mean age 68 years, male 62%, diffuse histology 46%, surgical resection 93%, H. pylori positive 40%). Patients with intestinal-type gastric cancer were more likely to be male (77% vs. 49%), older (mean age 72 years vs. 63 years), and had higher rates of background atrophic gastritis (68% vs. 34%). Intestinal-type patients were more likely to meet criteria for endoscopic resection (17% vs. 2%). There were no significant differences in ethnicity or HP status between the histological subtypes. Tumor size approached significance, with intestinal-type cancers tending to be smaller (3.9 cm vs. 5.0 cm, p = 0.067). Early gastric cancer represented 22% of the cohort. Among these, 41% met criteria for endoscopic resection, though only 3 patients actually underwent the procedure (21% of those eligible). Conclusions Gastric cancers in British Columbia are being diagnosed at a more advanced stage compared to some Asian populations, specifically in Japan. A significant proportion of patients eligible for endoscopic resection are instead undergoing surgery. Intestinal-type gastric cancers are more likely to be endoscopically resectable, likely due to more liberal resection. Patients with intestinal-type gastric cancer are also more likely to have background changes in the stomach, indicating a need for closer follow-up when this is detected. No significant ethnic differences were observed between histological subtypes. Our findings underscore the need for improved early detection strategies in British Columbia, as well as the potential to reduce unnecessary surgeries through increased use of endoscopic resection. Table. Comparison of Clinicopathological Features of Gastric Cancer Subtypes Based on Histological Type (Intestinal, Diffuse, Mixed) and Differentiation Status. Funding Agencies None
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.005 |
| Science and technology studies | 0.002 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".