Document Detail


Treatment and prognosis of early multiple gastric cancer.
MedLine Citation:
PMID:  12875857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Early gastric cancer (EGC) may have a 5-year survival rate of over 90% following surgery. Early multifocal gastric cancer (EMGC) accounts for between 8.3 and 17% of all EGCs. A multicenter retrospective study is reported of prevalence, characteristics, prognosis and type of resection for EMGC patients. METHOD: 333 patients with EGC were operated on, between January 1979 and December 1988, and followed to June 1996. RESULTS: 33 EGC patients had EMGC. There was no significant difference in clinico-pathological features between EGC and EMGC. 21 cases of EMGC underwent a subtotal gastrectomy and 12 underwent a total gastrectomy. Recurrences after subtotal gastrectomy were, respectively, 10 and 18% for EGC and EMGC patients (p=0.2). The cumulative 5 years specific survival rate for 298 EGC and 34 EMGC were 94 and 90%, respectively (p=0.9). Five-year survival rates after subtotal gastrectomy were 92 and 90% for EGC and EMGC patients, respectively (p=0.8). CONCLUSION: EGC and EMGC had the same clinico-pathological features and prognosis. A careful follow up of the stomach remnant is essential.
Authors:
F Borie; N Plaisant; B Millat; J M Hay; P L Fagniez; B De Saxce;
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology     Volume:  29     ISSN:  0748-7983     ISO Abbreviation:  Eur J Surg Oncol     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-23     Completed Date:  2003-09-05     Revised Date:  2007-07-02    
Medline Journal Info:
Nlm Unique ID:  8504356     Medline TA:  Eur J Surg Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  511-4     Citation Subset:  IM    
Affiliation:
Service Chirurgie A, Hôpital St Eloi, 34295, Montpellier, France. fborie@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Gastrectomy / methods*
Humans
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Recurrence, Local / etiology
Neoplasms, Multiple Primary / diagnosis*,  epidemiology,  pathology,  surgery*
Prevalence
Prognosis
Proportional Hazards Models
Retrospective Studies
Stomach Neoplasms / diagnosis*,  epidemiology,  pathology,  surgery*
Survival Analysis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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