Author/Editor     Buyukasik, Oktay; Hasdemir, Ahmet Oguz; Gulnerman, Yusuf; Col, Cavit; Ikiz, Ozgur
Title     Second primary cancers in patients with gastric cancer
Translated title     Drugi primarni rak pri bolnikih z želodčnim rakom
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 44, št. 4
Publication year     2010
Volume     str. 239-43
Language     eng
Abstract     Background. The risk of developing a second primary tumour in patients with gastric carcinoma is higher than among the general population. The aim was to investigate the clinicopathological characteristics of the second primary cancers in patients with gastric cancer in this study. Patients and methods. In the retrospective study, patients with gastric cancers were evaluated between 1995 and 2005 for primary tumours according to Warren and Gates' criteria related with the second primary cancers. Results. Nine of the 112 patients with gastric cancer had second primary cancers. Seven of the patients were males and two females. Six patients with gastric cancers had synchronous, and three had metachronous tumours. The age of the patients ranged from 53 to 78 years, and the mean age was 61 ± 8.3 years. The most frequent site of occurrence of the second tumours was the colo-rectum (33%) followed by the upper respiratory system (22%), and the urogenital system (22%) in descending order of frequency. Conclusions. The incidence of the second primary cancer in gastric cancer patients was 8% in the current report. It is recommended that careful preoperative and postoperative examinations for other primary cancers, as well as for the extent of the primary gastric carcinoma, are carried out. Because colorectal cancer was the most common carcinoma combined with gastric carcinoma, the surveillance for this carcinoma (e.g., colonoscopy, abdominopelvic CT) would be appropriate after the diagnosis of gastric carcinoma.