Impact of the Interval between Previous Endoscopic Exam and Diagnosis on the Mortality and Treatment Modality of Undifferentiated-Type Gastric Cancer

Hyunsoo Chung; Ayoung Lee; 이혁준; 조수정; Jue Lie Kim; 안혜성; 서윤석; 공성호; Hwi Nyeong Choe; 양한광; Sang Gyun Kim

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저자정보: Hyunsoo Chung (Seoul National University College of Medicine) Ayoung Lee (Seoul National University College of Medicine) 이혁준 (서울대학교) 조수정 (서울대학교병원) Jue Lie Kim (Seoul National University College of Medicine) 안혜성 (서울특별시보라매병원) 서윤석 (분당서울대학교병원) 공성호 (서울대학교병원) Hwi Nyeong Choe (Seoul National University Hospital) 양한광 (서울대학교) Sang Gyun Kim (Department of Internal Medicine and Liver Research Institute Seoul National University College of M)

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제21권 제2호

발행연도: 2021.1

수록면: 203 - 212 (10page)

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Purpose: The impact of the interval between previous endoscopy and diagnosis on the treatment modality or mortality of undifferentiated (UD)-type gastric cancer is unclear. This study aimed to investigate the effect of endoscopic screening interval on the stage, cancer-related mortality, and treatment methods of UD-type gastric cancer. Materials and Methods: We reviewed the medical records of newly diagnosed patients with UD gastric cancer in 2013, in whom the interval between previous endoscopy and diagnosis could be determined. The patients were classified into different groups according to the period from the previous endoscopy to diagnosis (<12 months, 12?23 months, 24?35 months, ≥36 months, and no history of endoscopy), and the outcomes were compared between the groups. In addition, patients who underwent endoscopic and surgical treatment were reclassified based on the final treatment results. Results: The number of enrolled patients was 440, with males representing 64.1% of the study population; 11.8% of the participants reported that they had undergone endoscopy for the first time in their cancer diagnosis. The percentage of stage I cancer at diagnosis significantly decreased as the interval from the previous endoscopy to diagnosis increased (65.4%, 63.2%, 64.2%, 45.9%, and 35.2% for intervals of <12 months, 12?23 months, 24?35 months, ≥36 months, and no previous endoscopy, respectively, P<0.01). Cancer-related mortality was significantly lower for a 3-year interval of endoscopy (P<0.001). Conclusions: A 3-year interval of endoscopic screening reduces gastric-cancer-related mortality, particularly in cases of UD histology.

#Stomach neoplasms #Endoscopy #digestive system #Survival rate

참고문헌 (28)

참고문헌 신청

Hamilton SR / 2000 / Pathology and Genetics of Tumours of the Digestive System / IARC Press

Japanese Gastric Cancer Association / 2011 / Japanese classification of gastric carcinoma: 3rd English edition / Gastric Cancer 14:101~112

Hamashima C / 2017 / Optimal interval of endoscopic screening based on stage distributions of detected gastric cancers / BMC Cancer 17:740

진선 / 2018 / Optimal Endoscopic Screening Interval for Early Detection of Gastric Cancer: a Single-Center Study / Journal of Korean Medical Science 33(23):1~10

Park CH / 2014 / The optimal endoscopic screening interval for detecting early gastric neoplasms / Gastrointest Endosc 80:253~259

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Hyunsoo Chung

소속기관 Department of Internal Medicine and Liver Research Institute Seoul National University College of M

주요연구분야 의약학 > 임상의학 > 내과학 의약학 > 임상의학 > 일반 외과학

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