Overutilization of surgery for superficial gastric carcinoma in USA: is it still the case in 2020?

Gastric cancer is the fifth most common cancer worldwide and the third leading cause of cancer-related death in the world [1] [2]. Given the high incidence of gastric cancer in Asia, rigorous screening strategies have been implemented over the years, resulting in enhanced detection at an early stage. This shift in the timing of diagnosis is critical for prognosis, as early gastric cancers (EGCs) have negligible risk for lymph node metastasis...