Prospective Study
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World J Gastroenterol. Jun 21, 2014; 20(23): 7480-7487
Published online Jun 21, 2014. doi: 10.3748/wjg.v20.i23.7480
Synchronous and metachronous neoplasms in gastric cancer patients: A 23-year study
Małgorzata Ławniczak, Alicja Gawin, Halina Jaroszewicz-Heigelmann, Wiesława Rogoza-Mateja, Joanna Raszeja-Wyszomirska, Andrzej Białek, Katarzyna Karpińska-Kaczmarczyk, Teresa Starzyńska
Małgorzata Ławniczak, Alicja Gawin, Halina Jaroszewicz-Heigelmann, Wiesława Rogoza-Mateja, Andrzej Białek, Teresa Starzyńska, Department of Gastroenterology, Pomeranian Medical University, 71-252 Szczecin, Poland
Joanna Raszeja-Wyszomirska, Liver Unit, Pomeranian Medical University, 70-111 Szczecin, Poland
Katarzyna Karpińska-Kaczmarczyk, Department of Pathology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland
Author contributions: Ławniczak M, Starzyńska T designed the research, performed the research; Gawin A, Jaroszewicz-Heigelmann H, Rogoza-Mateja W, Raszeja-Wyszomirska J, Białek A performed the research; Karpińska-Kaczmarczyk K performed the research, analyzed data; Ławniczak M analyzed data and wrote the paper.
Supported by Pomeranian Medical University, No. WL-107/01/S/12
Correspondence to: Małgorzata Ławniczak, MD, Department of Gastroenterology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland. gosa27@pum.edu.pl
Telephone: +48-91-4253211 Fax: +48-91-4253211
Received: August 21, 2013
Revised: December 14, 2013
Accepted: January 8, 2014
Published online: June 21, 2014
Core Tip

Core tip: In our study, the incidence of second primary malignancies in gastric cancer (GC) patients was 6.7%. The predominant tumor type of the secondary neoplasms was colorectal cancer, followed by lung, breast, and prostate. GC patients with synchronous neoplasms were older than those with metachronous neoplasms. GC patients with second primary tumors were significantly more likely to be blood group O and older than those without. This suggests a need for additional procedures, such as colonoscopy, chest X-ray, mammography and computed tomography, particularly for those who are older and blood group O.