Table 1. Clinicopathologic and treatment characteristics in patients with germline CDH1 mutation who underwent prophylactic total gastrectomy.
Prophylactic Total Gastrectomy | All patients (n=32) n or median (% or range) | Hand-sewn anastomosis (n=10) n or median (% or range) | Modified Orringer anastomosis (n=22) n or median (% or range) |
---|---|---|---|
| |||
Age (years) | 42 (16-58) | 42 (26-50) | 42 (16-58) |
| |||
Gender | |||
Male | 10 (31.3) | 6 (60.0) | 4 (18.2) |
Female | 22 (68.7) | 4 (40.0) | 18 (81.8) |
| |||
Body mass index | 25.6 (18.0-41.8) | 25.6 (22.1-41.8) | 25.8 (18.0-36.3) |
| |||
Gastrointestinal symptoms at presentationa | |||
Abdominal pain or discomfort | 4 (12.5) | 3 (30.0) | 1 (4.5) |
Nausea or vomiting | 2 (6.2) | 1 (10.0) | 1 (4.5) |
Dyspepsia or heartburn | 2 (6.2) | 1 (10.0) | 1 (4.5) |
Dysphagia | 1 (3.1) | 0 (0.0) | 1 (4.5) |
Diarrhea | 2 (6.2) | 1 (10.0) | 1 (4.5) |
None | 23 (71.9) | 5 (50.0) | 18 (81.8) |
| |||
Family history | |||
Gastric cancer | 32 (100.0) | 10 (100.0) | 22 (100.0) |
Family members with CDH1 mutation | 29 (90.7) | 9 (90.0) | 20 (90.9) |
Breast cancer | 12 (37.5) | 4 (40.0) | 8 (36.4) |
| |||
Operative time (minutes) | 190 (124-308) | 229 (187-308) | 167 (124-267) |
| |||
Estimated intraoperative blood loss (milliliters) | 100 (50-1000) | 300 (100-800) | 100 (50-1000) |
| |||
Length of stay (days) | 8 (7-12) | 7 (7-8) | 8 (7-12) |
| |||
Anastomotic leak | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| |||
Anastomotic stricture | 1 (3.1) | 1 (10.0) | 0 (0.0) |
| |||
30-day morbidity | 3 (9.4) | 1 (10.0) | 2 (9.1) |
| |||
30-day mortality | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| |||
Weight loss (nadir % from baseline) | 15.8 (0.6-43.2) | 15.7 (8.9-43.2) | 16.0 (0.7-28.8) |
| |||
Presence of microscopic foci of carcinoma | |||
Noninvasive (intramucosal or in situ) | 9 (28.2) | 7 (70.0) | 2 (9.1) |
Invasive (≥T1a) | 19 (59.4) | 1 (10.0) | 18 (81.8) |
Noninvasive and Invasive | 2 (6.2) | 1 (10.0) | 1 (4.5) |
None | 2 (6.2) | 1 (10.0) | 1 (4.5) |
| |||
Lymph nodes resected (n) | 13 (1-40) | 13 (6-18) | 13 (1-40) |
Symptoms not mutually exclusive