Kim JW, Jang JY, Chang YW, Kim YH. Clinical features of second primary cancers arising in early gastric cancer patients after endoscopic resection. World J Gastroenterol 2015; 21(27): 8358-8365 [PMID: 26217087 DOI: 10.3748/wjg.v21.i27.8358]
Corresponding Author of This Article
Jae-Young Jang, MD, PhD, Department of Internal Medicine, College of Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemoongu, Seoul 130-702, South Korea. jyjang@khu.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
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World J Gastroenterol. Jul 21, 2015; 21(27): 8358-8365 Published online Jul 21, 2015. doi: 10.3748/wjg.v21.i27.8358
Table 1 Characteristics of the early gastric cancer and advanced gastric cancer groups n (%)
Overall
EGC group
AGC group
P value
(n = 413)
(n = 184)
(n = 229)
Mean age (mean ± SD, yr)
61.3 ± 11.6
62.1 ± 10.2
60.8 ± 12.6
0.263
Gender
Male
293 (70.9)
137 (74.5)
156 (68.1)
0.159
Female
120 (29.1)
47 (25.5)
73 (31.9)
Smoking
229 (55.4)
110 (59.8)
109 (47.6)
0.014
Alcohol
190 (46.0)
97 (52.7)
93 (40.6)
0.014
H. pylori infection
258 (62.5)
105 (57.1)
153 (66.8)
0.042
Histology
Differentiated
262 (63.4)
184 (100)
78 (34.1)
< 0.001
Undifferentiated
151 (36.6)
0
151 (65.9)
Follow-up duration (mean ± SD, months)
37.2 ± 15.9
36.9 ± 14.9
37.4 ± 16.7
0.697
Table 2 Incidence of second primary cancers in gastric cancer patients n (%)
Overall
EGC group
AGC group
P value
(n = 413)
(n = 184)
(n = 229)
Second primary cancer
38 (9.2)
17 (9.2)
21 (9.2)
0.981
Synchronous cancer
18 (4.4)
8 (4.3)
10 (4.4)
0.993
Metachronous cancer
20 (4.8)
9 (4.9)
11 (4.8)
0.967
Table 3 Distribution of second primary cancers according to gastric cancer group n (%)
Location
Overall
EGC group
AGC group
(n = 38)
(n = 17)
(n = 21)
Lung
7 (18.4)
3 (17.6)
4 (19.0)
Colorectal
5 (13.2)
2 (11.8)
3 (14.3)
Esophagus
5 (13.2)
2 (11.8)
3 (14.3)
Urogenital
4 (10.5)
2 (11.8)
2 (9.5)
Gynecologic
3 (7.9)
1 (5.9)
2 (9.5)
Pancreas
3 (7.9)
1 (5.9)
2 (9.5)
Skin
2 (5.3)
1 (5.9)
1 (4.8)
Hematology
2 (5.3)
1 (5.9)
1 (4.8)
Others
7 (18.3)
4 (23.4)
3 (14.3)
Table 4 Logistic regression analysis of risk factors in the early gastric cancer group
Synchronous cancer
Metachronous cancer
OR (95%CI)
P value
OR (95%CI)
P value
Age (> 60 yr)
0.676 (0.082-5.580)
0.589
1.151 (0.278-4.768)
0.846
Sex (male)
0.992 (0.193-5.104)
0.992
1.488 (0.356-6.214)
0.586
Smoking
0.392 (0.091-1.696)
0.210
1.307 (0.316-5.408)
0.712
Alcohol
0.501 (0.116-2.165)
0.355
0.418 (0.101-1.726)
0.228
H. pylori infection
1.294 (0.299-5.594)
0.730
1.553 (0.376-6.421)
0.543
Citation: Kim JW, Jang JY, Chang YW, Kim YH. Clinical features of second primary cancers arising in early gastric cancer patients after endoscopic resection. World J Gastroenterol 2015; 21(27): 8358-8365