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Medical Oncology

, Volume 28, Issue 4, pp 973–980 | Cite as

Improved outcome in asymptomatic recurrence following curative surgery for gastric cancer

  • Cynthia Villarreal-GarzaEmail author
  • Miriam Rojas-Flores
  • Andrea Castro-Sánchez
  • Antonio R. Villa
  • Luis García-Aceituno
  • Eucario León-Rodríguez
Original paper

Abstract

The purpose of this study was to compare the outcome and resectability of patients with gastric cancer recurrence after curative surgery detected by follow-up endoscopy, according to the presence or absence of symptoms. All patients with gastric carcinoma, who underwent a curative gastrectomy, were retrospectively identified. We analyzed outcome and survival in patients compliant with routine follow-up who presented symptomatic and asymptomatic recurrence. Of the 119 resected patients, 63.0% had a recurrence, with an overall survival of 20.0 months. Fourteen patients were asymptomatic when recurrence was detected, whereas 61 patients were symptomatic. Median time to recurrence was 16.0 m for both groups. A local curative re-resection was possible in 2/14 (asymptomatic) and 1/61 (symptomatic). Asymptomatic patients had a longer median postrecurrence survival time of 9.0 months, compared with 2.0 months in the symptomatic patients (p=0.034). The median overall survival was greater in the asymptomatic vs symptomatic group (25.0 vs 20.0 months), although this did not reach statistical significance. The results from this study advocate that the presence or absence of symptoms is a good surrogate marker to assess biologic aggressiveness. The value of routine follow-up endoscopy to permit a higher rate of re-resection in asymptomatic patients remains to be established.

Keywords

Gastric cancer Asymptomatic recurrence Re-resection Follow-up 

Notes

Acknowledgments

Study conception and design: Villarreal-Garza, León-Rodríguez. Collection of data: Villarreal-Garza, Rojas-Flores, Castro-Sánchez. Analysis and interpretation of data: Villarreal-Garza, Villa, León-Rodríguez. Systematic review of literature and drafting of manuscript: Villarreal-Garza, García-Aceituno. Final approval of manuscript: Villarreal-Garza, Rojas-Flores, Castro-Sánchez, Villa, García-Aceituno, León-Rodríguez.

Conflict of interest statement

The authors of the manuscript “Improved outcome in asymptomatic recurrence following curative surgery for gastric cancer” declare that there are no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Cynthia Villarreal-Garza
    • 1
    Email author
  • Miriam Rojas-Flores
    • 1
  • Andrea Castro-Sánchez
    • 1
  • Antonio R. Villa
    • 2
  • Luis García-Aceituno
    • 1
  • Eucario León-Rodríguez
    • 1
  1. 1.Department of Medical Oncology and HematologyInstituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ)Mexico CityMexico
  2. 2.Department of Clinical EpidemiologyInstituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ)Mexico CityMexico

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