Copyright
©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 7, 2013; 19(41): 7154-7159
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7154
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7154
Characteristics and prognosis of synchronous multiple early gastric cancer
Taro Isobe, Kousuke Hashimoto, Junya Kizaki, Naotaka Murakami, Keishiro Aoyagi, Kikuo Koufuji, Yoshito Akagi, Kazuo Shirouzu, Department of Surgery, Kurume University School of Medicine, Fukuoka 830-0011, Japan
Author contributions: Isobe T performed the analysis, analyzed the data, and wrote the paper; Hashimoto K, Kizaki J and Murakami N participated in the analysis; Aoyagi K and Koufuji K analyzed the data; Akagi Y helped to conceive the study; Shirouzu K designed and supervised the study.
Correspondence to: Taro Isobe, MD, PhD, Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan. taro_isobe@yahoo.co.jp
Telephone: +81-942-35-3311 Fax: +81-942-34-0709
Received: June 28, 2013
Revised: August 26, 2013
Accepted: September 15, 2013
Published online: November 7, 2013
Revised: August 26, 2013
Accepted: September 15, 2013
Published online: November 7, 2013
Core Tip
Core tip: This study compares the clinicopathologic characteristics of synchronous multiple gastric cancer (SMGC) and single gastric cancer, Further, we identified risk factors for SMGC and assessed whether they can be treated with a minimally invasive approach. We found that SMGC occurred predominantly in elderly male patients who had a family history of gastric cancer, and who were both smokers and drinkers. The tumors were macroscopically elevated and histologically differentiated. Lymph node metastasis and vascular invasion were equally prevalent, and there was no significant difference in postoperative survival between these patient groups. We suggest minimally invasive approach may be applicable.