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Management and clinical outcomes of type I gastric carcinoid patients: retrospective, multicenter study in Japan.
- Source :
-
Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society [Dig Endosc] 2014 May; Vol. 26 (3), pp. 377-84. Date of Electronic Publication: 2013 Nov 05. - Publication Year :
- 2014
-
Abstract
- Background and Aim: Type I gastric carcinoids (TIGC) are associated with chronic atrophic gastritis (CAG) with hypergastrinemia and hyperplasia of enterochromaffin-like cells. Several treatment options are currently available for these tumors including total gastrectomy, partial resection, antrectomy, endoscopic resection and endoscopic surveillance. The present study evaluated different treatment approaches and clinical outcomes of patients with TIGC in Japan.<br />Methods: Between 1991 and 2011, 82 patients with TIGC were identified at multicenter institutions in Japan. Patient demographics, tumor size, depth of invasion, vessel involvement, treatment approach, Helicobacter pylori infection, serum gastrin level, recurrence-free survival (RFS) and disease-specific survival (DSS) were analyzed.<br />Results: Median age of all patients at the time of diagnosis was 56 years (range, 24-79 years). There were 44 males and 38 females. Patients underwent endoscopic surveillance (n=25), endoscopic resection (n=41) or surgical resection (n=16). Intramucosal invasion was found in 19 patients, submucosal invasion in 44 patients and muscularis propria invasion in one patient. Tumor diameter was ≤ 10 mm in 71 patients, 11-20mm in five patients and ≥ 21 mm in five patients. None of the patients showed rapidly growing tumors, local recurrence or metastasis. The median (range) follow-up period was 7(0-20) years. RFS was 97.6% and DSS was 100% in all the patients.<br />Conclusion: The prognosis of TIGC patients treated by different modalities in Japan is favorable regardless of the generational change of management for TIGC.<br /> (© 2013 The Authors. Digestive Endoscopy © 2013 Japan Gastroenterological Endoscopy Society.)
- Subjects :
- Adult
Aged
Carcinoid Tumor mortality
Cohort Studies
Female
Gastrectomy mortality
Gastric Mucosa pathology
Gastric Mucosa surgery
Gastritis, Atrophic mortality
Gastritis, Atrophic pathology
Gastroscopy methods
Humans
Japan
Male
Middle Aged
Neoplasm Invasiveness pathology
Neoplasm Staging
Prognosis
Retrospective Studies
Risk Assessment
Stomach Neoplasms mortality
Survival Rate
Treatment Outcome
Young Adult
Carcinoid Tumor pathology
Carcinoid Tumor surgery
Gastrectomy methods
Gastritis, Atrophic surgery
Stomach Neoplasms pathology
Stomach Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1443-1661
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
- Publication Type :
- Academic Journal
- Accession number :
- 24188531
- Full Text :
- https://doi.org/10.1111/den.12197