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Clinical Characteristics of Gastric Cancer Associated with Pregnancy

Cited 14 time in Web of Science Cited 13 time in Scopus
Authors
Lee, Hyuk-Joon; Lee, In Kyu; Kim, Jong Won; Lee, Kuhn Uk; Yang, Han-Kwang; Choe, Kuk Jin
Issue Date
2009
Publisher
KARGER
Citation
DIGESTIVE SURGERY; Vol.26(1); 31-36
Keywords
Gastric cancerEndoscopyPregnancyPrognosis
Abstract
Background/Aims: This study was conducted to evaluate the clinical features and treatment outcome of gastric cancer associated with pregnancy. Methods: Clinicopathologic characteristics of 15 patients who were diagnosed as having gastric cancer during pregnancy or within 1 year after delivery (the P-related group) were compared with those of 53 age-matched pregnancy-unrelated gastric cancer patients (the control group). Results: Significant differences were found in tumor stage and surgical curability; the numbers of stage IV disease were 12 (80%) and 21 (40%; p = 0.006), and those of curative resection were 4 (27%) and 20 (62%; p = 0.02) in the P-related and the control group, respectively. Three-year survival rate was significantly lower in the P-related group (23.3%) than in the control group (52.8%; p = 0.007). In the P-related group, only 3 patients, including one patient diagnosed using endoscopy, survived without recurrences. In the multivariate analysis, pregnancy was not identified as an independent risk factor associated with poor outcome. Conclusion: Gastric cancer associated with pregnancy is discovered at its advanced stage and consequently shows a dismal prognosis. Considering that the patients who underwent curative resection have a favorable prognosis, primary efforts should be focused on early diagnosis. Copyright (C) 2009 S. Karger AG, Basel
ISSN
0253-4886
Language
English
URI
http://hdl.handle.net/10371/77837
DOI
https://doi.org/10.1159/000193330
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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