Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China

The present study was undertaken to clarify the prevalence and clinicopathological features of synchronous multiple primary cancers (SMPCs) under upper gastrointestinal endoscopic examination. We enrolled 45,032 consecutive patients who underwent upper gastrointestinal endoscopic examination for dig...

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Main Authors: Rui Wang, Mo-Jin Wang, Jin-Lin Yang, Cheng-Wei Tang
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/432367
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author Rui Wang
Mo-Jin Wang
Jin-Lin Yang
Cheng-Wei Tang
author_facet Rui Wang
Mo-Jin Wang
Jin-Lin Yang
Cheng-Wei Tang
author_sort Rui Wang
collection DOAJ
description The present study was undertaken to clarify the prevalence and clinicopathological features of synchronous multiple primary cancers (SMPCs) under upper gastrointestinal endoscopic examination. We enrolled 45,032 consecutive patients who underwent upper gastrointestinal endoscopic examination for digestive disease from January 2006 to December 2007 in our hospital and analyzed the clinicopathological features of SMPCs in esophagus and stomach. SMPCs are defined as two or over two different cancerous lesions developing in the same or other organs within 6 months. SMPCs were identified in 46 patients (0.1%). The gender ratio was 5.6 : 1 (male/female) and the mean age was 59.4 years. Synchronous esophageal and gastric cancers were the most frequent, being seen in 32 patients (0.07%). The most common histological types of SMPCs were squamous cell carcinoma in esophagus and adenocarcinoma in stomach, respectively. There were 27 (59%) SMPCs patients who had the history of simultaneous exposure to tobacco smoking and alcohol drinking. Additionally, 32 (78%) esophageal squamous cell cancers were associated with tobacco use. And 23 adenocarcinomas of the stomach were associated with Helicobacter pylori infection.
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spelling doaj-art-85b03ad78fa7438391cd8098e33956a62025-02-03T06:12:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/432367432367Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from ChinaRui Wang0Mo-Jin Wang1Jin-Lin Yang2Cheng-Wei Tang3Department of Gastroenterology and Endoscopy Center, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Gastroenterology and Endoscopy Center, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Gastroenterology and Endoscopy Center, West China Hospital, Sichuan University, Chengdu 610041, ChinaThe present study was undertaken to clarify the prevalence and clinicopathological features of synchronous multiple primary cancers (SMPCs) under upper gastrointestinal endoscopic examination. We enrolled 45,032 consecutive patients who underwent upper gastrointestinal endoscopic examination for digestive disease from January 2006 to December 2007 in our hospital and analyzed the clinicopathological features of SMPCs in esophagus and stomach. SMPCs are defined as two or over two different cancerous lesions developing in the same or other organs within 6 months. SMPCs were identified in 46 patients (0.1%). The gender ratio was 5.6 : 1 (male/female) and the mean age was 59.4 years. Synchronous esophageal and gastric cancers were the most frequent, being seen in 32 patients (0.07%). The most common histological types of SMPCs were squamous cell carcinoma in esophagus and adenocarcinoma in stomach, respectively. There were 27 (59%) SMPCs patients who had the history of simultaneous exposure to tobacco smoking and alcohol drinking. Additionally, 32 (78%) esophageal squamous cell cancers were associated with tobacco use. And 23 adenocarcinomas of the stomach were associated with Helicobacter pylori infection.http://dx.doi.org/10.1155/2012/432367
spellingShingle Rui Wang
Mo-Jin Wang
Jin-Lin Yang
Cheng-Wei Tang
Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
Gastroenterology Research and Practice
title Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
title_full Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
title_fullStr Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
title_full_unstemmed Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
title_short Upper Gastrointestinal Endoscopy Detection of Synchronous Multiple Primary Cancers in Esophagus and Stomach: Single Center Experience from China
title_sort upper gastrointestinal endoscopy detection of synchronous multiple primary cancers in esophagus and stomach single center experience from china
url http://dx.doi.org/10.1155/2012/432367
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AT jinlinyang uppergastrointestinalendoscopydetectionofsynchronousmultipleprimarycancersinesophagusandstomachsinglecenterexperiencefromchina
AT chengweitang uppergastrointestinalendoscopydetectionofsynchronousmultipleprimarycancersinesophagusandstomachsinglecenterexperiencefromchina