台灣外科醫學會雜誌

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	第28卷第3期 1995-6 A New Technique for Excision of Neonatal Ovarian Cyst
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	第28卷第3期 1995-6 Endotracheal Tube as an Atrial Caval Shunt to Rescue a Juxtahepatic Venous Injury
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	第28卷第3期 1995-6 Gastric Leiomyoblastoma
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	第28卷第3期 1995-6 Traumatic Dislocation of the Testis: Report of Two Cases
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	第28卷第3期 1995-6 W arfarin-induced lieus (Hemoperitoneum and Jejunal Intramural Hematoma): a Case Report and Review of Literature
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	第28卷第3期 1995-6 Temporalis Muscle Swelling Secondary to Chronic Mandibular Third Molar Pericoronitis
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	第28卷第3期 1995-6 Retrograde Jejunogastric Intussusception: A Rare Complication After Billroth II Subtotal Gastrectomy一A Cαse Report
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	第28卷第3期 1995-6 Septic Cavernous Sinus Thrombosis Complicating Facial Furuncle: Case Report
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	第28卷第3期 1995-6 No Drain for Perforated Appendicitis in Children: A Single Institute Experience
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	第28卷第3期 1995-6 Eight Years of Experience of Augmentation Mammaplasty: A Retrospective Study
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	第28卷第3期 1995-6 Post-Injection Rectus Femoris Contracture
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	第28卷第3期 1995-6 Abdominal Tuberculosis: A Retrospective Review of 26 Patients .in a District General Hospital of Southern Taiwan
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	第28卷第3期 1995-6 Angiosarcoma of the Head and Neck
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	第28卷第3期 1995-6 Multiple Primary Malignant Neoplasms in Gastric Cancer Patients
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	第28卷第3期 1995-6 Change of Serum Levels of Vitamin E in Adults after Relief from Obstructive Jaundice
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	第28卷第3期 1995-6 Historical Perspectives of Organ Transplantation
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	第28卷第4期 1995-8 Perforation of the Gall Bladder following Blunt Abdominal Trauma一A Cαse Report
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	第28卷第4期 1995-8 Acute Traumatic Abdominal Wall Hernia
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	第28卷第4期 1995-8 A Case Report of Splenic Inflammatory Pseudotumor
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	第28卷第4期 1995-8 Congenital Adrenal Hyperplasia with Urogenital Sinus: A Case Report
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篇名	Multiple Primary Malignant Neoplasms in Gastric Cancer Patients
作者	Chien-Liang Liu, Tsen-Long Yang, Kuo-Shyang Jeng, Kong-Fang Hwang
卷期/出版年月	28卷3期 (1995/6)
頁次	176-183
摘要	The cases of multiple primary malignant neoplasms (MPM) have increased in recent years owing to prolonged life expectancy in the general population and improved prognosis for many cancers. Although rarely seen in the English literature, cases of multiple primary malignant neoplasms with gastric cancer (MPM-G) have been frequently reported in the Japanese literature. We observed nineteen cases of MPM-G from January 1984 to December 1988 which accounted for 2.6% of all gastric cancer patients on our computer registry system during the same period. Of these nineteen cases, seventeen were male and two were female, and the average age at diagnosis of the gastric cancer was 63.9 years. Six cases were found to have synchronous cancers and thirteen cases had metachronous cancers. The average time interval between diagnosis of the first and second cancers was 44 months for the latter. Organs of the digestive system were the most common sites with associated malignancies, of which the most frequently involved organ was the esophagus (3 cases). There were three cases with hematologic malignancies. The prognosis was not satisfactory especially in patients with synchronous cancers. It is important to keep in mind the possibility of multiple primary malignancies during the patient follow-up. Long term survival can be expected only if early detection and effective treatment can be achieved.
關鍵詞	multiple primary malignant neoplasms, gastric cancer, synchronous cancers
分類	Original Article