Large population-based study using the SEER database: is endoscopic resection appropriate for early gastric cancer patients in the United States?
| Autor: | Qinlingfei Liu, Xin Chen, Kaidi Sun, Yangyang Hui, Lanping Zhu, Saiyu Wang, Shuang Ma, Jingwen Zhao, Bo Yang, Jing Zhao, Zihan Yu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty Adolescent Endoscopic Mucosal Resection Seer database Large population Lymph node metastasis Cancer specific survival 03 medical and health sciences Young Adult 0302 clinical medicine Gastrectomy Risk Factors Stomach Neoplasms Internal medicine Epidemiology medicine Humans Endoscopic resection Neoplasm Invasiveness Aged Lymphatic Vessels Retrospective Studies Aged 80 and over business.industry Gastroenterology Middle Aged Prognosis Survival Analysis United States Early Gastric Cancer Tumor Burden 030220 oncology & carcinogenesis Lymphatic Metastasis Multivariate Analysis Blood Vessels Lymph Node Excision 030211 gastroenterology & hepatology Female business Endoscopic treatment SEER Program |
| Zdroj: | Scandinavian journal of gastroenterology. 55(7) |
| ISSN: | 1502-7708 |
| Popis: | To investigate whether endoscopic treatment is applicable to American patients and explores the predictors of lymph node metastasis (LNM) in early gastric cancer (EGC).Patients with EGC confined to either mucosa (T1a,EGC limited to T1a exhibited a 2.4% incidence of LNM, which increased to 11.1% when the depth invaded T1b.LNM was present at 1.4%, 5.2%, and 5.0% for sizes ≤2, 2-5, and5cm of low-grade T1a EGC, respectively, (Endoscopic treatment may only be suitable for patients in the US population who have low-grade T1a lesions of less than 2 cm in size. Patients with T1a lesions of greater than 2 cm in size, lesions with high-grade, and all T1b lesions may benefit from radical surgical resection with lymphadenectomy. |
| Databáze: | OpenAIRE |
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