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Risk of second malignancies in patients with gastric marginal zone lymphomas of mucosa associate lymphoid tissue (MALT).

Abstract：

BACKGROUND:It is controversial whether patients with gastric marginal zone lymphomas of mucosa associated lymphoid tissue (MALT) have higher risk of second malignancies. The aim of this study was to define the risk of second malignancies in these patients. METHODS:We analyzed prospective follow-up data of 146 consecutive patients with gastric MALT lymphoma treated at Aichi Cancer Center Hospital and compared the incidence of second malignancies with that in the general population. We calculated the standardized incidence ratio (SIR), using age- and sex-specific incidence rates from the Aichi Cancer Registry. RESULTS:The median follow-up period was 74 months. A total of 27 tumors occurred in 22 patients (15.1%), including 19 solid tumors. Of these, nine tumors were detected concomitantly with, and 18 tumors following, the diagnosis of gastric MALT lymphoma. Four patients had two second malignancies each. For the entire group, the SIR of an additional malignancy was 3.39 (95% confidence interval [CI] 2.11-4.66). An increased incidence of solid tumors (SIR 2.91 [1.60-4.22]) and hematologic malignancies (SIR 5.54 [1.70-9.38]) were seen. In addition, there was increased risk for development of second malignancies during follow up (SIR 2.26 [1.21-3.30]). Chemotherapy for treatment of MALT was an independent risk factor for second malignancies (age-sex adjusted hazard ratio 3.98 [1.47-10.79]. CONCLUSIONS:Compared with the general population, patients with gastric MALT lymphoma are at increased risk for second malignancies, including gastric cancer.

journal_name

J Gastroenterol

journal_title

Journal of gastroenterology

authors

Tajika M,Matsuo K,Ito H,Chihara D,Bhatia V,Kondo S,Tanaka T,Mizuno N,Hara K,Hijioka S,Imaoka H,Matsumoto K,Nakamura T,Yatabe Y,Yamao K,Niwa Y

doi

10.1007/s00535-013-0844-8

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

843-52

issue

5

eissn

0944-1174

issn

1435-5922

journal_volume

49

pub_type

杂志文章

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