Effective follow-up for recurrence or a primary cancer in patients with early gastric cancer

Y. Ikeda, M. Saku, F. Kishihara, Yoshihiko Maehara

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Background: Patients with early gastric cancer have an excellent prognosis with low rates of recurrence, but may have an increased risk of developing a second primary cancer. Because the number of early gastric cancers has increased, clarification of both recurrences and second primary cancers is important for the development of effective postoperative follow-up programmes. Methods: Data on 1070 patients with early gastric cancer were analysed retrospectively with respect to the clinicopathological features of both recurrence and second primary cancers after surgical treatment. Results: Multivariate analysis showed that lymph node metastasis and older age were independent risk factors for recurrence of early gastric cancer. The incidence of second primary cancers was 5.0 per cent; lung and colorectal cancers were detected most frequently, followed by cancers in the oesophagus, breast and remnant stomach. Conclusion: Clinicopathological features of patients with early gastric cancer can be used to identify those most at risk of developing either recurrence or a second primary cancer.

Original languageEnglish
Pages (from-to)235-239
Number of pages5
JournalBritish Journal of Surgery
Volume92
Issue number2
DOIs
Publication statusPublished - Feb 1 2005

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Second Primary Neoplasms
Stomach Neoplasms
Recurrence
Neoplasms
Gastric Stump
Esophageal Neoplasms
Colorectal Neoplasms
Lung Neoplasms
Breast
Multivariate Analysis
Lymph Nodes
Neoplasm Metastasis
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

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Effective follow-up for recurrence or a primary cancer in patients with early gastric cancer. / Ikeda, Y.; Saku, M.; Kishihara, F.; Maehara, Yoshihiko.

In: British Journal of Surgery, Vol. 92, No. 2, 01.02.2005, p. 235-239.

Research output: Contribution to journalArticle

Ikeda, Y. ; Saku, M. ; Kishihara, F. ; Maehara, Yoshihiko. / Effective follow-up for recurrence or a primary cancer in patients with early gastric cancer. In: British Journal of Surgery. 2005 ; Vol. 92, No. 2. pp. 235-239.
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