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- Analysis of Local Recurrence Following Proximal Gastrectomy in Patients with Upper Third Gastric Cancer
- Chang Hak Yoo, Byung Ho Sohn, Won Kon Han, Won Kil Pae
- Cancer Res Treat. 2002;34(4):247-251. Published online August 31, 2002
- DOI: https://doi.org/10.4143/crt.2002.34.4.247
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Abstract
PDF - PURPOSE
Little is known about local recurrence following proximal gastrectomy in patients with upper third gastric cancer. We performed this study to evaluate the long-term results of a proximal gastrectomy, and to analyze the risk factors of local recurrence affecting survival in these patients.
MATERIALS AND METHODS
We undertook a retrospective study of 63 patients who underwent potentially curative proximal gastrectomy between 1990 and 1999, with special reference to local recurrence.
RESULTS
During a median follow-up period of 37 months, 25 of the 63 patients (39.7%) developed a recurrence of cancer, with local recurrence in 15 patients (23.8%), the majority of these occurring at the remnant stomach or anastomosis. The median time to local recurrence was 38 months (8~78 months). Univariate analysis of risk factors for local recurrence revealed an infiltrative or diffuse gross type, with a tumor sizes>5 cm, a distal resection margin
When performing a proximal gastrectomy for upper third gastric cancer, even after curative resection, all risk factors should be considered to reduce rates of local recurrence. -
Citations
Citations to this article as recorded by
- Clinicopathologic characteristics in patients with upper third gastric cancer following radical surgical treatment
Xiaoming Ma, Wei Zhou, Cheng Wang, Wei Miao, Ning Liu, Shigui Wang, Shihao Guan
Medicine.2018; 97(45): e13017. CrossRef - Recurrence Following Laparoscopy-Assisted Gastrectomy for Gastric Cancer: A Multicenter Retrospective Analysis of 1,417 Patients
Jyewon Song, Hyuk-Joon Lee, Gyu Seok Cho, Sang-Uk Han, Min-Chan Kim, Seung Wan Ryu, Wook Kim, Kyo Young Song, Hyung-Ho Kim, Woo Jin Hyung
Annals of Surgical Oncology.2010; 17(7): 1777. CrossRef - Proximal Gastrectomy Reconstructed by Jejunal Pouch Interposition for Upper Third Gastric Cancer: Prospective Randomized Study
Chang Hak Yoo, Byung Ho Sohn, Won Kon Han, Won Kil Pae
World Journal of Surgery.2005; 29(12): 1592. CrossRef - Issues in the Management of the Upper Third Gastric Cancer
Han-Kwang Yang
Cancer Research and Treatment.2004; 36(1): 4. CrossRef
- Clinicopathologic characteristics in patients with upper third gastric cancer following radical surgical treatment
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- Lumpectomy with Axillary Dissection for Breast Cancer
- Eil Sung Chang, Jin Sung Chang
- J Korean Cancer Assoc. 1997;29(6):1041-1048.
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Abstract
PDF
- PURPOSE
The study was to evaluate the various risk factors related to local recurrence and distant metastasis in early breast cancer treated by lumpectomy with axillary dissection MATERIALS AND METHODS: Forty nine patients with early breast cancer were treated by lumpectomy with axillary dissection between January, 1990 and December, 1996. We analysed the risk factors such as age, tumor size, axillary lymph node metastasis, stage, pathologic classification and radiotherapy for local recurrence and distant metastasis RESULTS: The peak incidence was in the fifth decade (15 cases, 31%) and the average age was 47. The most common tumor size was 0~2 cm in 27 of 49 cases (55%). The preoperative chemotherapy was performed in 25 of 49 cases. The axillary lymph node metastasis was absent in 41 of 49 cases (84%). The most common pathologic type was invasive ductal carcinoma (29 cases, 60%). The breast skin incision was performed with curvilinear incision in 40 cases (85%), radial incision in 7 cases (15%). The axillary skin incision was performed with seperated incision in 45 cases (96%), nonseperated incision in 2 cases (4%). The most common complication was wound seroma (6 cases, 12%). By the time of follow-up, crude local recurrence rate was 10% (5 out of 49 cases) and crude distant metastasis rate was 6% (3 out of 49 cases).
CONCLUSION
The factors such as age, tumor size, positive axillary nodes and stage were not statistically significantly related to local recurrence. Postoperative radiation therapy and preoperative chemotherapy were the significant factor related to local recurrence (2.6% for 39 cases with radiation therapy vs. 40.0% for 10 cases without radiation therapy, p<0.05; 0% for 25 cases with preoperative chemotherapy vs. 20.8% for 24 cases without preoperative chemotherapy, p<0.05).
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