대장암을 포함하는 다발성 원발성 악성종양
Multiple Primary Cancers Including Colorectal Cancer
김수홍, 김형진, 이재임, 이윤석, 강원경, 박종경, 오승택,
소속 상세정보
김수홍 ( Kim Soo-Hong )
가톨릭대학교 의과대학 외과학교실
김형진 ( Kim Hyung Jin )
가톨릭대학교 의과대학 외과학교실
이재임 ( Lee Jae-Im )
가톨릭대학교 의과대학 외과학교실
이윤석 ( Lee Yoon-Suk )
가톨릭대학교 의과대학 외과학교실
강원경 ( Kang Won-Kyung )
가톨릭대학교 의과대학 외과학교실
박종경 ( Park Jong-Kyung )
가톨릭대학교 의과대학 외과학교실
오승택 ( Oh Seung-Tack )
가톨릭대학교 의과대학 외과학교실
KMID : 0356720080240060467
Abstract
Purpose: With advance in diagnostic techniques and treatment modalities, it has been increasing that the patients with colorectal cancer experience another primary malignancies. Understanding the characteristics of multiple primary malignancies is important to establish an effective surveillance program for the early detection of second cancer.
Methods: The database of 2,709 patients diagnosed with colorectal cancer between 1985 and 2007 in Kangnam St. Mary’s Hospital was analyzed retrospectively.
Results: Out of 2,709 patients, 102 (3.76%) of them were found to have multiple malignancies. Among them, 37 patients had synchronous cancers and 65 patients had metachronous cancers. The most common site of multiple primary malignancies was the stomach, followed by kidney, thyroid and breast.
Conclusions: In the patients with colorectal cancer, it should be considered to evaluate multiple primary malignancies, especially stomach, during the routine follow up. And the most frequent multiple primary cancer before colorectal cancer was also stomach cancer. Careful attention should be paid to the colorectal cancer in stomach cancer patients.
키워드
대장암;다발성 원발성 악성종양
Colorectal cancer;Multiple primary cancers
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