Table 3.
Profiles of metachronous multiple remnant gastric cancer patients
No.
|
Group
|
ISP
|
Treatment
|
MTMC
|
Curability1
|
MRSC
|
PROG2
|
1 | SNNS | SG | DG | 50.5 | Curative | 75.6 | Pneumonia |
2 | SNNS | SG | ESD | 60.2 | Curative | 114.9 | Alive |
3 | SNNS | SG | ESD | 22.9 | Curative | 79.9 | Alive |
4 | SNNS | MPG | ESD | 13.6 | Curative | 76.3 | Alive |
5 | SNNS | LR | ESD | 30.7 | Curative | 73.1 | Alive |
6 | SNNS | DG | TG | 43.6 | Curative | 62.9 | Alive |
7 | Control | DG | TG | 19.5 | Curative | 63.6 | Alive |
8 | Control | DG | TG | 17.2 | Curative | 97.4 | Alive |
9 | Control | DG | ESD | 44.3 | Curative | 55.5 | AID |
10 | Control | DG | ESD | 220.4 | Curative | 240.0 | Alive |
11 | Control | DG | ESD | 40.6 | Curative | 120.0 | Alive |
12 | Control | PG | UR | 74.3 | UR | 120.0 | Alive |
13 | Control | PG | TG | 76.8 | Curative | 120.0 | Alive |
14 | Control | PG | ESD | 18.5 | Curative | 120.0 | Alive |
15 | Control | PG | ESD | 28.2 | Curative | 120.0 | Alive |
16 | Control | PPG | TG | 50.8 | Curative | 120.0 | Alive |
17 | Control | PPG | DG | 85.0 | Curative | 116.2 | Alive |
18 | Control | PPG | ESD | 77.1 | Curative | 118.5 | Alive |
19 | Control | PPG | ESD | 22.0 | Curative | 98.2 | Alive |
20 | Control | LR | DG | 7.6 | Cure | 42.8 | CVD |
21 | Control | LR | ESD | 64.2 | Cure | 85.7 | Alive |
“Curability” column indicates whether treatment for metachronous multiple remnant gastric cancers was curative or not. All but one unresectable patient could be resected radically, and there were no recurrences of metachronous gastric cancer. One unresectable patient was alive with metachronous cancer 10 years after the initial surgery.
“PROG” column indicates whether the patients are alive at the time of recent survival confirmation, or the cause of death.
ISP: Initial surgical procedure; SG: Segmental gastrectomy; MPG: Mini-proximal gastrectomy; LR: Local resection; DG: Distal gastrectomy; PG: Proximal gastrectomy; PPG: Pylorus-preserving gastrectomy; ESD: Endoscopic submucosal dissection; TG: Total gastrectomy; UR: Unresectable; MTMC: Months to treat metachronous gastric cancer; MRSC: Months to recent survival confirmation; PROG: Prognosis or cause of death; AID: Autoimmune disease; CVD: Cerebrovascular disease; SNNS: Sentinel node navigation surgery.