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Clinical Characteristics of Gastric Cancer Associated with Pregnancy
Lee, Hyuk-Joon,Lee, In Kyu,Kim, Jong Won,Lee, Kuhn Uk,Choe, Kuk Jin,Yang, Han-Kwang S. Karger AG 2009 Digestive surgery Vol.26 No.1
<P><I>Background/Aims:</I> This study was conducted to evaluate the clinical features and treatment outcome of gastric cancer associated with pregnancy. <I>Methods:</I> Clinicopathologic characteristics of 15 patients who were diagnosed as having gastric cancer during pregnancy or within 1 year after delivery (the P-related group) were compared with those of 53 age-matched pregnancy-unrelated gastric cancer patients (the control group). <I>Results:</I> Significant differences were found in tumor stage and surgical curability; the numbers of stage IV disease were 12 (80%) and 21 (40%; p = 0.006), and those of curative resection were 4 (27%) and 20 (62%; p = 0.02) in the P-related and the control group, respectively. Three-year survival rate was significantly lower in the P-related group (23.3%) than in the control group (52.8%; p = 0.007). In the P-related group, only 3 patients, including one patient diagnosed using endoscopy, survived without recurrences. In the multivariate analysis, pregnancy was not identified as an independent risk factor associated with poor outcome. <I>Conclusion:</I> Gastric cancer associated with pregnancy is discovered at its advanced stage and consequently shows a dismal prognosis. Considering that the patients who underwent curative resection have a favorable prognosis, primary efforts should be focused on early diagnosis.</P><P>Copyright © 2009 S. Karger AG, Basel</P>