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KMID : 0914820070070040237
Journal of the Korean Gastric Cancer Association
2007 Volume.7 No. 4 p.237 ~ p.241
Stomach Cancer Secondary to Hematologic Diseases
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
Abstract
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.
KEYWORD
Hematologic disease, Leukemia, Stomach cancer, Secondary cancer
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