title: [Clinicopathological characteristics and generational changes in metachronous gastric cancer of the reconstructed gastric tube].
abstract: This study investigated gastric tube cancer (GTC) to clarify the clinicopathological characteristics in different generations. We analyzed 165 cases with metachronous GTC; 9 cases from our institution and 156 from reported Japanese cases. Cases were divided into 3 groups to provide a detailed analysis of age-specific variations. GTC most commonly occurred in the lower gastric tube, and the most common histological type was tubular adenocarcinoma (70%). There were no age-related variations in the site and histological type of GTC. The incidence rate of endoscopic detection increased from 2003 to 74% in 2012, and the incidence of early GTC detection also significantly increased in this period. The rate of endoscopic treatment before 2003 was approximately 20%, and it doubled over the 10-year course of the study. The recent progress made in the diagnosis and treatment of GTC may have contributed to an improvement in its prognosis.
authors.affiliation: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School.
authors.forename: Nobutoshi
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsutani
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Nomura
authors.forename: Itsuo
authors.initials: I
authors.lastname: Fujita
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kanazawa
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sakurazawa
authors.forename: Masao
authors.initials: M
authors.lastname: Miyashita
authors.forename: Eiji
authors.initials: E
authors.lastname: Uchida
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000473:pathology*; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology*