Xie B, Xia Y, Wang X, Xiong Y, Chen SB, Zhang J, He WW. Factors associated with heterochronic gastric cancer development post-endoscopic mucosal dissection in early gastric cancer patients. World J Gastrointest Oncol 2023; 15(9): 1644-1652 [PMID: 37746653 DOI: 10.4251/wjgo.v15.i9.1644]
Corresponding Author of This Article
Wei-Wei He, PhD, Associate Chief Physician, Department of Oncology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 157 Daming Road, Qinhuai District, Nanjing 210022, Jiangsu Province, China. heweiwei1983@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Sep 15, 2023; 15(9): 1644-1652 Published online Sep 15, 2023. doi: 10.4251/wjgo.v15.i9.1644
Table 1 Basic information about the study patients
Age (yr)
Body mass index (kg/m2)
White blood cell count (× 109/L)
Platelet count (× 109/L)
Admission creatinine (mg/dL)
Patients
61.31 ± 9.60
24.68 ± 3.36
14.57 ± 3.40
169.55 ± 49.70
0.94 (0.70, 1.20)
t/Z/χ2 values
0.78
0.82
0.41
2.09
1.50
P value
> 0.05
> 0.05
> 0.05
< 0.05
> 0.05
Table 2 Logistics regression analysis of risk factors for multiple gastric cancers after endoscopic submucosal dissection
Clinical and lesion characteristics
OR
95%CI
P value
Age ≥ 65 yr
1.902
0.435-8.328
0.393
Male
1.435
0.383-5.382
0.592
Smoking (BI ≥ 400)
2.697
0.707-10.290
0.146
Lesion in the lower third of the stomach
11.280
2.720-46.775
0.001
O-shaped atrophy
1.547
0.372-6.442
0.549
Severe intestinalization
6.206
1.667-23.109
0.006
Divergent
9.178
1.642-51.305
0.012
Table 3 Univariate analysis of risk factors for developing concurrent gastric cancer
Clinicopathological features
OR
95%CI
P value
Age ≥ 65 yr
5.679
1.164-27.701
0.025
Male
2.400
0.600-9.604
0.343
Smoking (BI ≥ 400)
2.622
0.689-9.971
0.291
Family history of stomach cancer
3.067
0.291-32.329
0.359
Initial multiple foci
4.547
0.101-19.960
0.912
Lesion ≥ 2 cm
2.042
0.563-7.399
0.348
Lesion in the lower third of the stomach
2.469
0.620-9.830
0.220
O-shaped atrophy
2.115
0.531-8.425
0.447
Severe intestinalization
4.632
1.159-18.514
0.045
Divergent
6.25
0.771-50.695
0.109
Depth of submucosal infiltration < 500 μm
4.4
0.745-25.991
0.134
Table 4 Logistics regression analysis of risk factors for the development of concurrent gastric cancer
Influencing factors
OR
95%CI
P value
Age ≥ 65 yr
2.458
0.404-14.958
0.329
Severe intestinalization
4.711
0.969-22.896
0.055
Table 5 Univariate analysis of risk factors for the development of heterochronic gastric cancer
Clinicopathological features
OR
95%CI
P value
Age ≥ 65 yr
7.571
1.606-35.699
0.004
Male
5.400
1.146-25.446
0.022
Smoking (BI ≥ 400)
3.441
1.056-11.214
0.074
Family history of stomach cancer
5.111
0.774-33.752
0.123
Initial multiple foci
1.813
0.344-9.560
0.831
Lesion ≥ 2 cm
1.167
0.407-3.344
0.794
Lesion in the lower third of the stomach
7.778
1.690-35.795
0.034
O-shaped atrophy
3.437
0.924-12.784
0.061
Severe intestinalization
3.821
1.234-11.828
0.047
Divergent
9.375
1.192-73.735
0.037
Depth of submucosal infiltration < 500 μm
1.320
0.144-12.089
0.585
Table 6 Logistics regression analysis of risk factors for the development of heterochronic gastric cancer
Influencing factors
OR
95%CI
P value
Age ≥ 65 yr
4.119
0.696-24.358
0.119
Male
4.205
0.882-20.057
0.072
Lesion in the lower third of the stomach
14.87
2.508-88.166
0.003
Severe intestinalization
4.484
1.029-19.536
0.046
Divergent
12.644
1.303-122.714
0.029
Citation: Xie B, Xia Y, Wang X, Xiong Y, Chen SB, Zhang J, He WW. Factors associated with heterochronic gastric cancer development post-endoscopic mucosal dissection in early gastric cancer patients. World J Gastrointest Oncol 2023; 15(9): 1644-1652