Primary Adenosquamous Carcinoma of the Stomach
Journal of the Korean Gastric Cancer Association
;
: 31-35, 2006.
Article
in Korean
| WPRIM
| ID: wpr-178386
ABSTRACT
PURPOSE:
A primary adenosquamous carcinoma of the stomach is relatively rare, accounting for only about 0.5% of all gastric cancers. However, its histopathologic characteristics are still unclear, and the most appropriate form of therapy has not been established yet. MATERIALS ANDMETHODS:
We retrospectively reviewed the clinicopathologic features of 8 patients with pathologically confirmed primary adenosquamous carcinomas out of 8,268 patients who underwent gastric cancer surgery at Samsung Medical Center between September 1994 and December 2004.RESULTS:
The median age of the 8 patients was 49 (41~69) years, and the male female ratio was 5 3. In 3 patients, the tumor was located at the mid body of the stomach, and in 5 patients, at the lower body or antrum. The tumor sizes were 2.5~8 cm. Seven patients showed metastases to the regional lymph nodes. The UICC stage distribution were 5 stage II, 2 stage III, and 1 stage IV. In the stage IV patient, a palliative gastrojejunostomy was performed, and he died 5 months after surgery. Of the 7 patients who underwent a radical gastrectomy and adjuvant chemotheratpy, the median survival was 34 (12~66) months, 2 patients died of cancer recurrence, and 4 patients are being followed up without evidence of recurrence.CONCLUSION:
As for an adenocarcinoma of the stomach, a radical gastrectomy including regional lymph node dissection and postoperative adjuvant therapy should be performed for appropriate treatment of an adenosquamous carcinoma of the stomach.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Recurrence
/
Stomach
/
Stomach Neoplasms
/
Gastric Bypass
/
Adenocarcinoma
/
Retrospective Studies
/
Carcinoma, Adenosquamous
/
Gastrectomy
/
Lymph Node Excision
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Gastric Cancer Association
Year:
2006
Type:
Article
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