Lymph Node Status in Patients with Submucosal Gastric Cancer
| Autor: | Ryo Takagawa, Masato Nomura, Akira Nakano, Goro Matsuda, Masazumi Takahashi, Hidetaka Ono, Hiroshi Shimada, Hirotoshi Akiyama, Yutaka Nagahori, Chikara Kunisaki, Yoshihiro Moriwaki, Yuichi Otsuka, Fumihiko Kito |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Lymphovascular invasion Population Adenocarcinoma Gastroenterology Text mining Stomach Neoplasms Surgical oncology Internal medicine medicine Humans education Lymph node Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Incidence (epidemiology) Cancer Middle Aged medicine.disease Survival Rate Clinical trial medicine.anatomical_structure Oncology Gastric Mucosa Lymphatic Metastasis Female Surgery Lymph Nodes Neoplasm Recurrence Local business |
| Zdroj: | Annals of Surgical Oncology. 13:1364-1371 |
| ISSN: | 1534-4681 1068-9265 |
| DOI: | 10.1245/s10434-006-9061-5 |
| Popis: | The aim of this study was to clarify the lymph node status in patients with submucosal gastric cancer. Between April 1994 and December 1999, 615 patients with histologically proven submucosal gastric cancer who underwent curative resection were included in this study. The results of the surgery and predictive factors for lymph node metastasis were evaluated by univariate and multivariate analyses. The accuracy of the predictive factors was assessed in a second population of a further 186 patients. Lymph node metastasis was observed in 119 patients (19.3%). Multivariate analysis showed that pathologic tumor diameter (≥20 mm) and lymphatic invasion were independent predictive factors for lymph node metastasis. The incidence of lymph node metastasis without these 2 predictive factors was 1.8% (2 of 113), and it was 51.2% (85 of 166) with the 2 predictive factors, 9.5% (14 of 148) in tumors |
| Databáze: | OpenAIRE |
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