Correlation between lymph node count and survival and a reappraisal of lymph node ratio as a predictor of survival in gastric cancer: A multi-institutional cohort study

2017 ◽  
Vol 43 (2) ◽  
pp. 432-439 ◽  
Author(s):  
J.H. Lee ◽  
J.-W. Kang ◽  
B.-H. Nam ◽  
G.S. Cho ◽  
W.J. Hyung ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cohort Study ◽  
Lymph Node ◽  
Lymph Node Ratio ◽  
Lymph Node Count ◽  
Node Ratio ◽  
Node Count

Negative Lymph Node Count and Lymph Node Ratio Are Associated With Survival in Male Breast Cancer

2018 ◽  
Vol 18 (6) ◽  
pp. e1293-e1310
Author(s):  
Fatma Abd-Elshahed Abd-Elhay ◽  
Khaled Mosaad Elhusseiny ◽  
Mohamed Gomaa Kamel ◽  
Soon Khai Low ◽  
To Kim Sang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Male Breast Cancer ◽  
Lymph Node Ratio ◽  
Male Breast ◽  
Lymph Node Count ◽  
Negative Lymph Node ◽  
Node Ratio ◽  
Node Count

scholarly journals Proposed Modification of Staging for Distal Cholangiocarcinoma Based on the Lymph Node Ratio Using Korean Multicenter Database

Cancers ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 762
Author(s):  
Yunghun You ◽  
Yong Chan Shin ◽  
Dong Wook Choi ◽  
Jin Seok Heo ◽  
Sang Hyun Shin ◽  
...  
Keyword(s):  
Overall Survival ◽  
Lymph Node ◽  
Predictive Power ◽  
Lymph Node Ratio ◽  
Staging System ◽  
Information Criterion ◽  
Distal Cholangiocarcinoma ◽  
Lymph Node Count ◽  
Node Ratio ◽  
Node Count

The 8th American Joint Committee on Cancer (AJCC) staging system for distal cholangiocarcinoma (DCC) included a positive lymph node count (PLNC), but a comparison of the prognostic predictive power of PLNC and lymph node ratio (LNR) is still under debate. This study aimed to compare various staging models made by combining the abovementioned factors, identify the model with the best predictive power, and propose a modified staging system. We retrospectively reviewed 251 patients who underwent surgery for DCC at four centers. To determine the superiority of various staging models for predicting overall OSR, Akaike information criterion (AIC), Bayesian information criterion (BIC), AIC correction (AICc), and Harrell’s C-statistic were calculated. In multivariate analysis, age (p = 0.003), total lymph node count (p = 0.033), and revised T(LNR)M staging (p < 0.001) were identified as independent factors for overall survival rate. The predictive performance of revised T (LNR) M staging (AIC: 1288.925, BIC: 1303.377, AICc: 1291.52, and Harrell’s C statics: 0.667) was superior to other staging system. A modified staging system consisting of revised T category and LNR predicted better overall survival of DCC than AJCC 7th and AJCC 8th editions. In the future, external validation of the proposed new system using a larger cohort will be required.

scholarly journals Recurrence outcome of lymph node ratio in gastric cancer after underwent curative resection: A retrospective cohort study

2020 ◽  
Vol 54 ◽  
pp. 57-61
Author(s):  
Chairat Supsamutchai ◽  
Chumpon Wilasrusmee ◽  
Jakrapan Jirasiritham ◽  
Teerawut Rakchob ◽  
Songpol Phosuwan ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cohort Study ◽  
Lymph Node ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Curative Resection ◽  
Lymph Node Ratio ◽  
Node Ratio

Prognostic relevance of lymph node ratio and total lymph node count for small bowel adenocarcinoma

Surgery ◽  
2015 ◽  
Vol 158 (2) ◽  
pp. 486-493 ◽  
Author(s):  
Thuy B. Tran ◽  
Motaz Qadan ◽  
Monica M. Dua ◽  
Jeffrey A. Norton ◽  
George A. Poultsides ◽  
...  
Keyword(s):  
Lymph Node ◽  
Small Bowel ◽  
Lymph Node Ratio ◽  
Small Bowel Adenocarcinoma ◽  
Lymph Node Count ◽  
Prognostic Relevance ◽  
Node Ratio ◽  
Node Count ◽  
Total Lymph Node

scholarly journals Positive lymph node ratio is an index in predicting prognosis for remnant gastric cancer with insufficient retrieved lymph node in R0 resection

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Honghu Wang ◽  
Hao Qi ◽  
Xiaofang Liu ◽  
Ziming Gao ◽  
Iko Hidasa ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Lymph Node Ratio ◽  
Prognostic Index ◽  
Staging System ◽  
R0 Resection ◽  
Remnant Gastric Cancer ◽  
Curative Intent ◽  
Node Ratio

AbstractThe staging system of remnant gastric cancer (RGC) has not yet been established, with the current staging being based on the guidelines for primary gastric cancer. Often, surgeries for RGC fail to achieve the > 15 lymph nodes needed for TNM staging. Compared with the pN staging system, lymph node ratio (NR) may be more accurate for RGC staging and prognosis prediction. We retrospectively analyzed the data of 208 patients who underwent R0 gastrectomy with curative intent and who have ≤ 15 retrieved lymph nodes (RLNs) for RGC between 2000 and 2014. The patients were divided into four groups on the basis of the NR cutoffs: rN0: 0; rN1: > 0 and ≤ 1/6; rN2: > 1/6 and ≤ 1/2; and rN3: > 1/2. The 5-year overall survival (OS) rates for rN0, rN1, rN2, and rN3 were 84.3%, 64.7%, 31.5%, and 12.7%, respectively. Multivariable analyses revealed that tumor size (p = 0.005), lymphovascular invasion (p = 0.023), and NR (p < 0.001), but not pN stage (p = 0.682), were independent factors for OS. When the RLN count is ≤ 15, the NR is superior to pN as an important and independent prognostic index of RGC, thus predicting the prognosis of RGC patients more accurately.

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