The Department of Surgery, The Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Surg Oncol. 2010 Dec;19(4):e110-4. doi: 10.1016/j.suronc.2010.05.002. Epub 2010 Jun 20.
The incidence of multiple gastric cancers (MGCs) has been increasing over the recent decades due to the advance in diagnostic techniques combining with the detailed pathological examinations of surgical resection specimens. Reduction of the surgical extent and trauma under the premise of radical resection improves the quality of life of patients with gastric cancer. However, MGC lesions may have been missed, which can result in adverse consequences. We carried out this systematic review of previous literatures, in order to provide deep insights into epidemiological, pathological and clinical features of MGCs and to establish an efficient way to screen the individuals with high risks. MGCs represent a special type of malignant gastric tumor and possess distinctive features compared with the solitary one. More attention should be paid to both diagnosis and treatment of MGCs. Possibility of overlooking accessory lesions must be kept in mind constantly. For the population at high risk, such as the elderly with differentiated type, strict perioperative tissue examinations and follow-up are essential.
近年来，由于诊断技术的进步以及手术切除标本的详细病理检查，多发性胃癌（MGC）的发病率有所增加。在根治性切除的前提下，减少手术范围和创伤，提高了胃癌患者的生活质量。然而，可能会遗漏 MGC 病变，从而导致不良后果。我们对以往文献进行了系统评价，以便深入了解 MGC 的流行病学、病理和临床特征，并建立一种筛选高危人群的有效方法。MGC 是一种特殊类型的恶性胃肿瘤，与单发肿瘤相比具有独特的特征。应更加重视 MGC 的诊断和治疗。必须时刻牢记可能会忽略附属病变的可能性。对于高危人群，如分化型老年人群，严格的围手术期组织检查和随访是必要的。
