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- W4306177543 abstract "Introduction: Remnant gastric cancer (RGC) develops in the remnant stomach after a previous gastrectomy. Due to its rarity, the clinical findings and postoperative follow-up data of surgical cases with RGC are limited. Methods: We collected the data on 321 patients who underwent curative surgery for RGC at 17 institutions between January 2005 and May 2021. Clinicopathological characteristics and pattern of disease recurrence were assessed. The median follow-up duration was 4.6 years after surgery for RGC. Results: Median time between the previous gastrectomy and the surgery for RGC was 21 years (range, 1-70). Previous gastrectomy was performed for gastric cancer (GC) in 59% (N = 188) and non-GC diseases in 41% (N = 133). Undifferentiated-type RGC was more often after a gastrectomy for GC vs non-GC diseases (47% vs 33%, p = 0.02). The 5-year recurrence-free survival rate was 84.7%, 40.8%, and 23.0% in pathological stages I, II, and III, respectively. Overall, the most common site of first recurrence was peritoneum (9.0%), followed by lymph-node (7.2%), hematogenous (6.5%), and locoregional (3.1%). Pathological T4 tumor was more common in the undifferentiated-type than the differentiated-type (30.5% vs 16.1%, p = 0.004) and was associated with a high recurrence rate (60.0%), especially in peritoneum (31.4%) and lymph-node (14.3%). The locoregional recurrence rate in T4 tumor was 5.7%. Conclusion: To our knowledge, this is the first study to report cohort data of over 300 RGC cases. Further study is needed to improve the survival of advanced RGC." @default.
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- W4306177543 date "2022-10-17" @default.
- W4306177543 modified "2023-10-17" @default.
- W4306177543 title "Clinical Features and Postoperative Recurrence of Remnant Gastric Cancer: Experience of 321 Cases" @default.
- W4306177543 doi "https://doi.org/10.1097/01.xcs.0000895596.83693.b8" @default.
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