Clinical and Endoscopic Features of Metastatic Tumors in the Stomach
Clinical and Endoscopic Features of Metastatic Tumors in the Stomach
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DOI：
10.5009/gnl14032
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发表时间：
2015-09-01
期刊：
影响因子：
3.4
通讯作者：
Kim, Jin-Ho
中科院分区：
文献类型：
--
作者：
Kim, Ga Hee;Ahn, Ji Yong;Kim, Jin-Ho
背景/目的：转移到komach很少见。这项研究的目的是描述和分析转移到胃的癌症的临床结果。方法：回顾分析实体器官肿瘤胃转移的临床病理资料。我们确定了37例患者，并评估了组织学、最初的表现、影像表现、病变部位、治疗过程和患者的总体生存情况。结果：胃镜检查显示单发病变多于多发病变，黏膜下肿瘤样瘤最常见。恶性黑色素瘤是最常转移到胃的肿瘤。12例患者在被诊断为胃转移后接受了治疗。诊断为胃转移的中位生存期为3.0个月(四分位数范围为1.0~11.0个月)。在诊断为转移性癌症后，有单发病变的患者和接受任何治疗的患者比有多个病变的患者和没有接受任何治疗的患者存活时间更长。结论：对胃部转移的肿瘤患者，在充分考虑原发肿瘤特点的基础上进行适当的治疗，可以提高患者的生存期，尤其是在胃镜下发现孤立转移灶的患者。
Background/Aims: Metastasis to the komach is rare. The aim of this study was to describe and analyze the clinical outcomes of cancers that metastasized to the stomach. Methods: We reviewed the clinicopathological aspects of patients with gastric metastases from solid organ tumors. Thirty-seven cases were identified, and we evaluated the histology, initial presentation, imaging finding, lesion locations, treatment courses, and overall patient survival. Results: Endoscopic findings indicated that solitary lesions presented more frequently than multiple lesions and submucosal tumor-like tumors were the most common appearance. Malignant melanoma was the tumor that most frequently metastasized to the stomach. Twelve patients received treatments after the diagnosis of gastric metastasis. The median survival period from the diagnosis of gastric metastasis was 3.0 months (interquartile range, 1.0 to 11.0 months). Patients with solitary lesions and patients who received any treatments survived longer after the diagnosis of metastatic cancer than patients with multiple lesions and patients who did not any receive any treatments. Conclusions: Proper treatment with careful consideration of the primary tumor characteristics can increase the survival period in patients with tumors that metastasize to the stomach, especially in cases with solitary metastatic lesions in endoscopic findings.