Treatment and prognosis of early multiple gastric cancer

被引:25
作者
Borie, F
Plaisant, N
Millat, B
Hay, JM
Fagniez, PL
De Saxce, B
机构
[1] Hop St Eloi, Serv Chirurg A, F-34295 Montpellier, France
[2] Hop Louis Mourier, Serv Chirurg Digest & Gen, AP HP, F-92701 Colombes, France
[3] Hop Henri Mondor, Serv Chirurg Digest & Gen, AP HP, F-94010 Creteil, France
[4] Hop Leon Touhladjian, Serv Chirurg Viscerale, F-78303 Poissy, France
来源
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY | 2003年 / 29卷 / 06期
关键词
early gastric cancer; early multiple gastric cancer; surgery;
D O I
10.1016/S0748-7983(03)00094-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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. (C) 2003 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:511 / 514
页数:4
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