[Therapeutic options and prognosis of multifocal gastric carcinomas].
OBJECTIVE
To investigate the clinicopathological characteristics, therapeutic principles and prognosis of multifocal gastric carcinomas.


METHODS
The data of 22 patients with multifocal gastric carcinomas surgically treated at our hospital from January 1999 to December 2007 were reviewed retrospectively.


RESULTS
The multifocal gastric carcinomas occurred frequently in the elderly men; the percentage of early stage gastric carcinoma was 28.9%. Eighteen patients received radical resection while 4 patients palliative resection. The 1, 3 and 5-year survival rates were 80.9%, 52.4% and 28.6% respectively.


CONCLUSIONS
A thorough gastric examination should be made before and during resection so as to avoid a missing diagnosis. The postoperative survival in patients with multifocal gastric carcinomas is similar to those with a solitary lesion.
Department of Abdominal Surgical Oncology, Cancer Hospital of Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China.
Zheng
Z
Wang
Zhi-Xiang
ZX
Zhou
Jian-Wei
JW
Liang
Xing-Mao
XM
Zhang
Jian-Bin
JB
Meng
D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome