KMID : 0914820070070040237
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Journal of the Korean Gastric Cancer Association 2007 Volume.7 No. 4 p.237 ~ p.241
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Stomach Cancer Secondary to Hematologic Diseases
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Kim Ji-Hoon
Jee Sung-Bae Hur Hoon Chin Hyung-Min Kim Wook Kim Dong-Wook Lee Jong-Wook Min Woo-Sung Kim Chun-Choo Jeon Hae-Myung
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Abstract
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Purpose: Patients with hematologic diseases such as chronic myeloid leukemia (CML) or chronic lymphoid leukemia (CLL) are known to have an increased chance of acquiring a secondary neoplasm. Stomach cancer is one of the most common malignant diseases in Korea, and we investigated whether the incidence of secondary stomach cancer
in patients with a hematologic disease increases, in order to determine if a more intensive screening program for detecting secondary gastric cancer was required. We also investigated the safety of performing a gastrectomy in hematologic disease patients.
Materials and Methods: From 1992 to 2006, the medical records of 8376 patients diagnosed with one of the six
common hematologic diseases were reviewed.
Results: Nine secondary stomach cancers were found among the 8376 patients during the 15-year observation period. No surgical-related complications occurred, and there was no recurrence of stomach cancer if detected early.
Conclusions: It seems that a more intensive screening program for detecting secondary gastric cancer in hematologic disease patients is not required, and surgery is not risky in these patients.
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KEYWORD
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Hematologic disease, Leukemia, Stomach cancer, Secondary cancer
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