Journal article
Differences in the pattern of presentation and treatment of proximal and distal gastric cancer: Results of the 2001 gastric patient care evaluation
Annals of surgical oncology, Vol.15(6), pp.1644-1650
06/01/2008
DOI: 10.1245/s10434-008-9877-2
PMID: 18392661
Abstract
Background: While the overall incidence of gastric cancer has declined in the United States of America, the incidence of proximal gastric cancers has increased. The purpose of this analysis was to highlight key differences between proximal and distal gastric cancer as they relate to presentation and treatment.
Methods: Data on 6,099 patients diagnosed with gastric adenocarcinoma were collected as a patient care evaluation under the auspices of the American College of Surgeons Commission on Cancer. The chi-square (chi(2)) test was used for comparisons of proportions across levels of categorical variables by site.
Results: The proximal cancer group included 1,924 patients (87% cardia, 13% fundus) and the distal cancer group included 1,311 patients (85% antrum, 15% pylorus). Proportionately, proximal cancer cases were male (P < 0.01), younger (P < 0.01), and White (P < 0.01); whereas, distal gastric cancer cases were Black (P < 0.01), Hispanic (P < 0.01), and Asian (P = 0.01). Surgery alone (without adjuvant chemotherapy or radiation) was utilized more frequently in distal disease (39.5%) compared to proximal disease (25.7%) (P < 0.01). Preoperative adjuvant therapy was utilized more frequently in proximal disease (41.7%) compared to distal disease (2.1%) (P < 0.01).
Conclusions: The populations that developed proximal verses distal gastric cancer differed with respect to sex, age, and racial background. Cancer-directed treatments also differed based upon tumor location. Understanding these differences may someday enable us to identify important high-risk populations, prevention strategies, and ultimately best treatment strategies. Long-term survival differences will be explored when follow-up data become available.
Details
- Title: Subtitle
- Differences in the pattern of presentation and treatment of proximal and distal gastric cancer: Results of the 2001 gastric patient care evaluation
- Creators
- Neal W. Wilkinson - University of IowaJames Howe - University of IowaGreer Gay - Amer Coll Surgeons, Natl Canc Data Base, Chicago, IL USALina Patel-Parekh - American College of SurgeonsCarol Scott-Conner - University of IowaJohn Donohue - Mayo Clinic in Florida
- Resource Type
- Journal article
- Publication Details
- Annals of surgical oncology, Vol.15(6), pp.1644-1650
- Publisher
- Springer Nature
- DOI
- 10.1245/s10434-008-9877-2
- PMID
- 18392661
- ISSN
- 1068-9265
- eISSN
- 1534-4681
- Number of pages
- 7
- Language
- English
- Date published
- 06/01/2008
- Academic Unit
- Surgery
- Record Identifier
- 9984322795902771
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