Comparative study of the pathological characteristics of gastric stump carcinoma and carcinoma of the upper third of the stomach

Igor Rabin, Andronik Kapiev, Bar Chikman, Zvi Halpern, Natan Poluksht, Ilan Wassermann, Judith Sandbank, Ariel Halevy*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Gastric stump cancer is often described as a tumor with a poor prognosis and low resectability rates. Objectives: To compare the pathological characteristics of gastric stump cancer patients with those of patients with proximal gastric cancer. Methods: This retrospective study was based on the demographic and pathological data of patients diagnosed with gastric cancer and treated at Assaf Harofeh Medical Center during an 11 year period. The patients were divided into two groups: those undergoing proximal gastrectomy for proximal gastric cancer and those undergoing total gastrectomy for gastric stump cancer. Results: Patients with gastric stump cancer were predominantly male, older (P = 0.202, not significant), and had a lower T stage with less signet-ring type histology, fewer harvested and fewer involved lymph nodes (P =0.03, statistically significant) and less vascular/lymphatic involvement than patients with proximal gastric cancer. Conclusions: The lower incidence of involved lymph nodes and lymphovascular invasion in gastric stump cancer as compared to proximal gastric cancer in this study may imply that the prognosis of gastric stump cancer may be better than that of proximal gastric cancer. However, to verify this assumption a study comparing patient survival is required.

Original languageEnglish
Pages (from-to)533-536
Number of pages4
JournalIsrael Medical Association Journal
Volume13
Issue number9
StatePublished - Sep 2011

Keywords

  • Gastric remnant cancer (GRC)
  • Gastric stump cancer (GSC)
  • Pathological characteristics
  • Proximal stomach cancer (PSC)

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