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논문 기본 정보

자료유형
학술저널
저자정보
Song Du Hyun (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Kim Nayoung (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea) Jo Hyeong Ho (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea) Kim Sangbin (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Choi Yonghoon (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Oh Hyeon Jeong (Department of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Hye Seung (Department of Pathology, Seoul National University College of Medicine, Seoul, Korea) Yoon Hyuk (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Shin Cheol Min (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Park Young Soo (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Dong Ho (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea) Kang So Hyun (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea) Park Young Suk (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea) Ahn Sang-Hoon (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea) Suh Yun-Suhk (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea) Park Do Joong (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, Korea) Kim Hyung Ho (Department of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, Korea) Kim Ji-Won (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Kim Jin Won (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Keun-Wook (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea) Chang Won (Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.) Park Ji Hoon (Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Yoon Jin (Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Kyoung Ho (Department of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea) Kim Young Hoon (Department of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea) Ahn Soyeon (Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Korea.) Surh Young-Joon (Department of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, KoreaCancer Research Institute, Seou)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.2
발행연도
2024.3
수록면
231 - 244 (14page)
DOI
10.5009/gnl220491

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Background/Aims: Synchronous multiple gastric cancer (SMGC) accounts for approximately 6% to 14% of gastric cancer (GC) cases. This study aimed to identify risk factors for SMGC. Methods: A total of 14,603 patients diagnosed with GC were prospectively enrolled. Data including age, sex, body mass index, smoking, alcohol consumption, family history, p53 expression, microsatellite instability, cancer classification, lymph node metastasis, and treatment were collected. Risk factors were analyzed using logistic regression analysis between a single GC and SMGC. Results: The incidence of SMGC was 4.04%, and that of early GC (EGC) and advanced GC (AGC) was 5.43% and 3.11%, respectively. Patients with SMGC were older (65.33 years vs 61.75 years, p<0.001) and more likely to be male. Lymph node metastasis was found in 27% of patients with SMGC and 32% of patients with single GC. Multivariate analysis showed that SMGC was associated with sex (male odds ratio [OR], 1.669; 95% confidence interval [CI], 1.223 to 2.278; p=0.001), age (≥65 years OR, 1.532; 95% CI, 1.169 to 2.008; p=0.002), and EGC (OR, 1.929; 95% CI, 1.432 to 2.600; p<0.001). Survival rates were affected by Lauren classification, sex, tumor size, cancer type, distant metastasis, and venous invasion but were not related to the number of GCs. However, the survival rate of AGC with SMGC was very high. Conclusions: SMGC had unique characteristics such as male sex, older age, and EGC, and the survival rate of AGC, in which the intestinal type was much more frequent, was very good (Trial registration number: NCT04973631).
#Stomach neoplasms #Multiple primary #Risk factors #Sex

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