Gastric cancer in children and adolescents in Japan

Masumi Okuda1,2, Keiko Nomura3, Mototsugu Kato4

  • 1Department of Pediatrics, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan.

Insights

Childhood gastric cancer is rare, with most cases occurring in older children. While prognosis is poor, declining rates may link to reduced Helicobacter pylori infection, though more research is needed.

Area of Science:

  • Pediatric Oncology
  • Gastroenterology
  • Epidemiology

Background:

  • Childhood gastric cancer is exceedingly rare, with limited available data on its clinical presentation and characteristics.
  • Understanding the epidemiology and clinical features of gastric cancer in pediatric and adolescent populations is crucial.

Purpose of the Study:

  • To assess the clinical features, treatment, and prognosis of gastric cancer in children and adolescents.
  • To investigate the potential role of Helicobacter pylori infection in childhood gastric cancer.

Main Methods:

  • A retrospective survey of 518 hospitals in Japan was conducted to collect data on childhood gastric cancer cases.
  • Literature reviews of PubMed and the Japan Medical Abstracts Society database, along with Japanese Vital Statistics, were used to identify additional cases.
  • Data collected included patient demographics, onset symptoms, tumor location, histology, family history, H. pylori status, treatment, and outcomes.

Main Results:

  • The study identified 80 pediatric gastric cancer cases (<16 years old), predominantly in children over 10 years old, with no sex predilection.
  • Undifferentiated-type carcinoma was the predominant histology (approx. 80%), and a significant proportion of patients had a family history of cancer.
  • Prognosis was extremely poor, with a high rate of H. pylori positivity (2/3 tested), although overall childhood gastric cancer deaths are declining.

Conclusions:

  • Childhood gastric cancer is a rare entity in Japan, characterized by aggressive histology and poor outcomes.
  • Limited data exist on H. pylori infection in pediatric gastric cancer patients, but declining incidence may correlate with decreasing infection rates.
  • Further research is essential to elucidate the precise relationship between H. pylori and the development of gastric cancer in children.
Abstract

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