Abstract: The pathological evalutioh of 20 lohg term survivors10 years advanced gastric carcinoma cases. showe that, grossly, the growth pattern was unrelated to the surviving rate. misroscopically, the prognosis of expanding the infiltrating pattern, and the well differetial adenocarcinoma was the best one among various types. The "Idolent mucoid carcinoma" was agood prognostic seperated entity, the frontier of tumor which showed well defined or with fibrous surronding had long survival. The invasive depth, Iymhoid-plasma cell infiltration and tumoorus emboli correlated with prognosis, our observation showed that the antl-tumor immuhe potential was essential therofore, Under the prerequisite of the improvihg operative procedure the immuno-supporative tharapy was the realistic way prolong the survial time.