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Clinicopathological profile and long-term outcome in young adults with gastric cancer: multicenter evaluation of 214 patients

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Abstract

Background and aims

Gastric cancer (GC) is usually diagnosed in the sixth and seventh decade of life, although it may also be found in younger patients. The aim of this study was to analyse the potential differences in demographic and clinicopathological factors between the younger (40 years of age and less) and older (above 40 years) population of GC.

Materials and methods

An electronic database covering all gastric cancer patients treated between 1977 and 1998 at eight university surgical centres was reviewed.

Results

Of 3,431 patients treated, 214 (6.2%) were 40 years of age or younger. No differences in tumour staging or location could be identified, but the diffuse type lesions were more common in the younger patients (52.6 vs 29.8%). No differences were found in morbidity and mortality rates, except a higher incidence of cardiopulmonary complications in older patients undergoing stomach resection (6.6 vs 12.3%). Median survival of patients after gastrectomy was 24.7 months (95% confidence interval [CI] 22.7–26.6) and was insignificantly longer in younger (30.8 months, 95%CI 21.0–40.5) than older (24.1 months, 95%CI 22.1–26.1) patients (P = 0.056). Median survival for unresectable cases was 5.4 months (95%CI 5.1–5.7) and was comparable in the younger (median 5.5 months, 95%CI 5.2–5.8) and older (median 4.4 months, 95%CI 3.7–5.1) groups.

Conclusion

GC in young adults demonstrates only minor deviations from the general population with a similar long-term outcome.

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Acknowledgements

This work was supported by the Polish State Committee for Scientific Research, grants No. 3P05C 067 23p01 and 4P05C 060 16p01.

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Correspondence to Jan Kulig.

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R. Bandurski, A. Czupryna, A. Dabrowski, M. Drews, M. Fraczek, H. Jaroszewicz-Heigelmann, A. Jeziorski, M. Krawczyk, A. Kubisz, W. Laszewicz, K. Marlicz, J. Swirkowicz, M. Tenderenda, G. Wallner are members of the Polish Gastric Cancer Study Group.

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Kulig, J., Popiela, T., Kolodziejczyk, P. et al. Clinicopathological profile and long-term outcome in young adults with gastric cancer: multicenter evaluation of 214 patients. Langenbecks Arch Surg 393, 37–43 (2008). https://doi.org/10.1007/s00423-007-0208-z

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  • DOI: https://doi.org/10.1007/s00423-007-0208-z

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