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Query: UMLS:C0024623 (gastric cancer)
 36,219 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Four cases of primary gastric malignant lymphoma followed years later by adenocarcinoma of the stomach are described. Review of the literature revealed eleven other cases of these two lesions occurring in the same patient. In our four cases gastric adenocarcinoma developed many years after successful treatment of primary gastric lymphoma by partial gastrectomy. In three patients gastrectomy had been followed by radiation treatment to the upper abdomen. The relationship between the two tumors is discussed, including the possible role of treatment of the lymphoma in the development later of gastric adenocarcinoma. It is important to consider the possibility of the later development of a second primary gastric cancer in a patient who develops gastric symptoms, after successful treatment for primary gastric neoplasm.
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PMID:Primary gastric malignant lymphoma followed by gastric adenocarcinoma: report of 4 cases and review of the literature. 36 Dec 21

In Japan a better prognosis of gastric cancer has been achieved by early diagnosis and wide, careful lymphectomy. This is not true in western countries. Thus the Authors believe that rational surgical strategy and the careful use of advanced diagnostic tools would produce a better outcome. The Authors report the new diagnostic methods that they adopt in every case of gastric neoplasm: endoscopic ultrasonography, which also proved useful in submucosal tumors, like lymphomas; parenteral nutrition, immune status assessment for a possible use of immune response modulators, single-dose antimicrobial prophylaxis, antithrombotic prophylaxis, autologous blood storage, in order to reduce transfusion-linked risks. Surgical strategy is also reported, which includes wide resection with adequate margins, R2 lymphectomy and intraoperative assessment of disease extension by ultrasonography.
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PMID:[Endoscopic and intraoperative ultrasonography in staging of stomach neoplasms]. 146 17

A method for abdominal ultrasonographic diagnosis of gastric cancer is suggested which includes evaluation of the gastric wall and regional lymph nodes, and search for distant metastases. Gastric tumors were visualized in 92.9% of cases. The procedure should be performed both in cancer suspects and cases with reliably established gastric neoplasm to assess local extent of tumor and detect regional and distant metastases.
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PMID:[Improvement of ultrasonographic diagnosis of stomach cancer]. 176 14

5'-DFUR was administered orally at 800 mg/day, for total dosage of 57.6 g to the gastric cancer patient, classified Borrmann Type 2, with Virchow's node metastasis. Gastric tumor had diminished in size on the fluoroscopy and the endoscopy. We then made distal gastrectomy. The resected stomach showed moderately differentiated tubular adenocarcinoma on the pathological examination. Side effect was diarrhea.
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PMID:[A resected case of gastric carcinoma with complete remission of Virchow's node metastasis by 5'-DFUR administration]. 214 6

The present paper analyses, in correlation with histologic lesions, the incidence of infection with Campylobacter pylori (CP) in patients with chronic gastritis, operated stomach, gastric neoplasm and healthy subjects. In chronic gastritis, incidence of infection with CP is 71.6%, significantly increased in comparison with the controls, in whom the positive percentage is 37.5. The most of the patients in this group suffered from superficial chronic gastritis. In the group with operated stomach, the CP infection included 48% of the patients studied; all had superficial chronic gastritis. In gastric cancer, CP bacteria appeared in 50% of cases. CP may represent a pathogenetic ring that starts the gastric process.
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PMID:[Campylobacter pylori infection in chronic gastritis and gastric cancer]. 257 24

A prospective study of delayed hypersensitivity was carried out in gastric cancer patients. One hundred and fifty-six subjects were studied. Fifty-nine were controls and ninety-nine patients with gastric neoplasm. A multitest technique was used to evaluate the delayed hypersensitivity response, classifying the subjects into one of three groups: immunocompetent, relatively anergic, and anergic. In the control group, 76% per cent of the subjects were immunocompetent; of the patients, only 43% showed an adequate cell-mediated immune response (p less than 0.001). Fourteen control subjects (24%) and 54 patients (56%) presented with either anergy or relative anergy (p less than 0.001). Of the ninety-four patients that underwent surgery, five (11.9%) of the immunocompetent group developed major postoperative septic complications, as did seven (22%) of the relative anergic and seven (35%) of the anergic patients (immunocompetent vs. anergic, p less than 0.05). Our study indicates a relationship between anergy and postoperative septic complications.
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PMID:Anergy in patients with gastric cancer. 274 12

A report is presented on 22 patients with advanced stomach cancer in whom echography revealed the characteristic signs ("pseudokidney", "cockade", "target", "doughnut", etc.). Though not considered wholly specific indicators of gastric neoplasm (they may be artefacts or errors of interpretation) they are helpful in the diagnosis of the stomach. Ultrasound has made it possible to identify the site (antrum and body) and spread of the cancer both locally and at a distance and only a few forms (not encountered in the present series) have presented characteristic images. Endoscopic ultrasonography and the high resolution intraoperative type offer the chance for significant progress in this diagnostic field.
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PMID:[Ultrasonic diagnosis of 22 gastric tumors]. 305 33

In a gastric neoplasm, malignant lymphoma is a relatively rare disease and a malignant lymphoma complicated by a carcinoma is very rarely found in the same stomach. As far as we could determine in a search of the literature, the coexistence of a gastric cancer and a malignant lymphoma was found in only 30 cases including our case and collision was seen in 10 of these. Our report concerns a recent case of malignant gastric lymphoma colliding with II c early gastric cancer, and is followed by a discussion. The patient, a man of 68, had complained of epigastralgia. The case was diagnosed as a gastric malignant lymphoma after an upper gastrointestinal roentgenogram and endoscopy. A biopsy revealed a torous malignant lymphoma (diffuse medium-sized cell type) and an II c early gastric cancer (tub 2) and suggested the collision between them.
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PMID:[Collision tumor of the stomach]. 331 12

A consecutive series of 27 patients with gastric neoplasm (24 carcinoma, 3 lymphoma) have been staged at laparotomy using the Japanese criteria for macroscopic staging. In 20 patients the radical R2/3 resection was considered potentially curative as defined by the Japanese Society for Research in Gastric Cancer. The operative mortality in this subgroup was 1/20 (5 per cent) and 3/27 (11 per cent) in the entire series. Locoregional recurrence was not observed in the potentially curative group. Follow-up has varied from 6 months to 7 years. An overall survival of 12/27 (48 per cent) has been observed to date. Death from cancer dissemination is maximal in the first and second year after resection. The R2/3 resection was considered non-curative in seven patients. In this subgroup there were two postoperative deaths and four have died of metastatic disease within 12 months of the resection. The only 5 year survivor in this group had a gastric lymphoma.
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PMID:R2/3 gastrectomy for gastric carcinoma: an audited experience of a consecutive series. 397 Nov 22

Some studies suggest cholecystectomy and the cholelithiasic disease are frequently associated to some neoplasms of the digestive tract. Cholecystectomy, through the physiopathologic alterations it causes, seems to assume the role of factor of risk for the development of a gastric neoplasm. The authors reviewed their casuistry by analysing the percentages of subjects in whom the gastric neoplasm was associated to a previous cholecystectomy or a concomitant cholelithiasis. The data obtained do not support the hypothesis that cholecystectomy or the "lithogenicity of the biliary ducts" may be a factor of risk for gastric cancer.
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PMID:[Is cholecystectomy a risk factor in the development of gastric neoplasms?]. 405 49


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