타 장기 원발암을 동반한 위암환자의 임상적 특성

임진호; 성관수; 김택현; 송교영; 강한철; 김승남; 박조현

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자료유형: 학술저널

저자정보: 임진호 (가톨릭대학교) 성관수 (가톨릭대학교) 김택현 (가톨릭대학교) 송교영 (가톨릭대학교) 강한철 (가톨릭대학교) 김승남 (가톨릭대학교) 박조현 (가톨릭대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.74 No.2

발행연도: 2008.2

수록면: 105 - 109 (5page)

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Purpose: The aim of this study was to clarify the risk factors and clinicopathologic features of gastric cancer patients with a second primary cancer (SPC).
Methods: The data on 2455 patients with gastric cancer was analyzed retrospectively with respect to the clinicopathologic features of the pathologically proven SPC.
Results: Of the 2,455 patients, there were 90 (3.7%) gastric cancer patients with SPC. Among them, 31 patients had synchronous cancers and 59 had metachronous cancers. Of the 59 metachronous cancers, 21 were found before the gastric surgery and 38 were found after the gastric surgery. The most prevalent SPC was colorectal cancer (28 cases) and followed by cancer in the liver (13 cases) kidney and pancreas (6 cases each, respectively). Among the 61 patients with SPC found after gastric cancer surgery, 31 cases (50%) were diagnosed within 2 years. On comparison of the clinicopathologic features, the patients with SPC tended to be older, more prone to have early gastric carcinoma and to have multiple gastric lesions. The survival rate of the patients with SPC and gastric cancer alone was not different; however, there was a significantly difference for the patients with early gastric cancer (61.7% vs. 91.3%, respectively, P＜0.05).
Conclusion: For the patients who were older, had multiple primary lesions or they had early gastric cancer, evaluation for SPC, and especially in the colon and liver, should be considered during routine follow up.

#Gastric cancer #Second primary cancer #Risk factor

참고문헌 (30)

참고문헌 신청

1. [학술지(정기간행물)] - Otsuji E / 1998 / Recent advances in surgical treatment have improved the survival of patients with gastric carcinoma / Cancer 82 : 1233 ~ 1237

2. [학술지(정기간행물)] - 대한위암학회 / 2002 / 전국 위암 등록사업 결과 보고 / 대한위암학회지 2 (2) : 105 ~ 114

3. [학술지(정기간행물)] - Park CH / 2007 / Treatment results for gastric cancer surgery: 12 years' experience at a single institute in Korea / Eur J Surg Oncol 16

4. [학술지(정기간행물)] - Yoshino K / 1985 / Multiple primary cancers in the stomach and another organ: frequency and the effects on prognosis / Jpn J Clin Oncol 15 : 183 ~ 190

5. [학술지(정기간행물)] - Ikeda Y / 2003 / Features of second primary cancer in patients with gastric cancer / Oncology 65 : 113 ~ 117

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