Clinicopathological Characteristics and Prognosis of Remnant Gastric Cancer
Open Access
- 1 January 2010
- journal article
- Published by The Korean Gastric Cancer Association in Journal of Gastric Cancer
- Vol. 10 (4), 219-225
- https://doi.org/10.5230/jgc.2010.10.4.219
Abstract
The long-term survival rate of gastric cancer patients after surgery has recently increased as a result of making an early diagnosis of gastric cancer. Therefore, the incidence of remnant gastric cancer is increasing. This study was performed to evaluate the clinicopathological characteristics and prognosis of patients with remnant gastric cancer. From January 2005 to December 2009, twenty-nine patients with remnant gastric cancer and who underwent surgery at Pusan National University Hospital were enrolled in this study. We retrospectively reviewed and analyzed their medical records. We also divided them into two groups: the remnant gastric cancer (RGC)-B group (first operation for benign disease) and the RGC-M group (first operation for malignant disease). The RGC-B group included ten patients and the RGC-M group included nineteen patients. The mean interval between the first and second operations was 17 years. The curative resection rate was 93.1% (27/29). The postoperative complication rate was 20.7% (6/29) and there was no perioperative mortality. Ten (37%) of twenty-seven patients experienced recurrence after curative resection and eight patients (27.6%) expired due to aggravation of remnant stomach cancer. An advanced TNM stage and non-curative resection were the negative prognostic factors for survival for patients with remnant stomach cancer (P=0.0453 and P<0.001). The RGC-M group showed a shorter interval (P<0.001) and the RGC-B group had more advanced TNM stage (P=0.003). Long-term follow-up should be considered not only for patients who undergo an operation for malignant disease, but also for the patients who underwent an operation for benign disease. When remnant gastric cancer is diagnosed, curative resection is essential to improve the survival.Keywords
This publication has 16 references indexed in Scilit:
- Clinicopathological Characteristics of Remnant Gastric Cancer After a Distal GastrectomyJournal of Gastrointestinal Surgery, 2009
- Progression and prognosis of gastric stump cancerJournal of Surgical Oncology, 2009
- Gastric remnant cancer: an old problem with novel concernsLangenbecks Archives Of Surgery, 2008
- Clinicopathological Features and Surgical Outcomes of Patients with Remnant Gastric Cancer after a Distal GastrectomyAnnals of Surgical Oncology, 2008
- Clinical Significance of Tumor Location in Remnant Gastric Cancers Developed after Partial Gastrectomy for Primary Gastric CancerJournal of Gastrointestinal Surgery, 2007
- Gastric stump carcinoma – Epidemiology and current concepts in pathogenesis and treatmentEuropean Journal of Surgical Oncology, 2007
- Cancer of the gastric stump following distal gastrectomy for cancerBritish Journal of Surgery, 2006
- Gastric cancer in KoreaGastric Cancer, 2002
- Surgical Treatment of Gastric Remnant-stump CancerJournal of Nippon Medical School, 2002
- Gastric remnant cancer as a metachronous multiple lesionBritish Journal of Surgery, 1993