Gastric cancer patients at high-risk of having synchronous cancer |
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Authors: | Lee Jun Ho Bae Ja Seong Ryu Keun Won Lee Jong Seok Park Sook Ryun Kim Chan Gyoo Kook Myoung Cheorl Choi Il Ju Kim Young Woo Park Jae-Gahb Bae Jae-Moon |
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Institution: | Research Institute & Hospital, National Cancer Center, 809 Madul-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do, 411-769,Korea |
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Abstract: | AIM: To identify patients with a high-risk of having a synchronous cancer among gastric cancer patients. METHODS: We retrospectively analyzed the prospective gastric cancer database at the National Cancer Center, Korea from December 2000 to December 2004. The clinicopathological characteristics of patients with synchronous cancers and those of patients without synchronous cancers were compared. Multivariate analysis was performed to identify the risk factors for the presence of a synchronous cancer in gastric cancer patients. RESULTS: 111 of 3291 gastric cancer patients (3.4%) registered in the database had a synchronous cancer. Among these 111 patients, 109 had a single synchronous cancer and 2 patients had two synchronous cancers. The most common form of synchronous cancer was colorectal cancer (42 patients, 37.2%) followed by lung cancer (21 patients, 18.6%). Multivariate analyses revealed that elderly patients with differentiated early gastric cancer have a higher probability of a synchronous cancer. CONCLUSION: Synchronous cancers in gastric cancer patients are not infrequent. The physicians should try to find synchronous cancers in gastric cancer patients, especially in the elderly with a differentiated early gastric cancer. |
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Keywords: | Synchronous cancer Gastric cancer Colorectal cancer |
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