scholarly journals Prognostic significance of regional lymph nodes dissection in gastric cancer.

1986 ◽  
Vol 19 (4) ◽  
pp. 840-843
Author(s):  
Jiro FUJIMOTO ◽  
Isao KOKUNAI ◽  
Tokuhiro MIYAMOTO ◽  
Satoshi TANE ◽  
Hitoshi SHIOZAKI ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Prognostic Significance ◽  
Regional Lymph Nodes ◽  
Lymph Nodes Dissection

Prognostic significance of isolated tumor cells in regional lymph nodes in patients with T2-T3 stage gastric cancer.

2012 ◽  
Vol 30 (4_suppl) ◽  
pp. 8-8
Author(s):  
Sung-Ho Jin ◽  
Soo-Youn Cho ◽  
Kyu-Jae Lee ◽  
Sunhoo Park ◽  
Hang-Jong Yu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Prognostic Factor ◽  
Lymph Nodes ◽  
Tumor Cells ◽  
Survival Rates ◽  
Prognostic Significance ◽  
Isolated Tumor Cells ◽  
Regional Lymph Nodes ◽  
N Stage ◽  
Pn Stage

8 Background: The prognostic impact of isolated tumor cells (ITCs) in regional lymph nodes is unclear. This study was aimed to evaluate the prognostic significance of ITCs in subpopulation with T2-T3 gastric cancer by adopting the standard definition for ITC (≤ 0.2 mm, detected by H&E or IHC) and micrometastsis (≤ 2 mm, detected by H&E or IHC) in 7th AJCC staging. Methods: A total of three hundred eleven patients diagnosed as pT2-3/N0-2/M0 gastric carcinoma after curative surgery at Korea Cancer Center Hospital between January 1996 and December 2000 was retrospectively studied. All tumor and lymph node specimens by H&E received reexaminations, and 5,825 lymph nodes from 191 patients without macrometastasis (> 2.0 mm) were re-evaluated after IHC staining with anti-cytokeratin (AE1/AE3). And N stage was reclassified into pN0(i-), pN0(i+), pN1mi, pN1, and pN2. Survival analyses were performed using Kaplan-Meier method with Log-rank test and Cox regression model. Results: According to original N stage, 5-year overall survival rates were estimated as 80.5% in N0, 79.3% in N1, 68.8% in N2 without statistical difference between N0 and N1 (p=0.790). Whereas according to reclassified pN stage, survival rates were estimated as 92.3% in pN0(i-), 75.5% in pN0(i+), 84.4% in pN1mi, 76.1% in pN1, and 69.0% in pN2, and significant difference was found between pN0(i-) and pN0(i+) (p=0.034). In the multivariate Cox model with backward conditional method, reclassified pN stage was remained as an independent prognostic factor along with age and tumor location while excluding original N stage, and the hazard ratio (95% CI) of pN0(i+) compared to pN0(i-) was 3.60 (1.08-12.00). Conclusions: The result demonstrates that ITCs in regional lymph nodes is a bad prognostic factor, even after adjusting for other prognostic factors. So we suggest that ITCs should be classified separately from the N0 in gastric cancer staging.

A case of primary biliary cirrhosis with sarcoid reaction in the regional lymph nodes after surgery of early gastric cancer

Kanzo ◽  
2005 ◽  
Vol 46 (7) ◽  
pp. 437-442 ◽  
Author(s):  
Tadashi YOSHIDA ◽  
Atsushi NAGASAKA ◽  
Yayoi OGAWA ◽  
Syuji NISHIKAWA ◽  
Akifumi HIGUCHI
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Primary Biliary Cirrhosis ◽  
Lymph Nodes ◽  
Biliary Cirrhosis ◽  
Regional Lymph Nodes ◽  
Sarcoid Reaction

BIOPSY OF THE SIGNALING LYMPH NODES IN GASTRIC CANCER - CURRENT STATUS OF THE PROBLEM AND PROSPECTS

2018 ◽  
Vol 64 (3) ◽  
pp. 335-344
Author(s):  
Aleksey Karachun ◽  
Yuriy Pelipas ◽  
Oleg Tkachenko ◽  
D. Asadchaya
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Lymph Nodes ◽  
Stomach Cancer ◽  
Current Status ◽  
Regional Lymph Nodes ◽  
Systematic Analysis ◽  
Tumor Spread ◽  
Special Value

The concept of biopsy of sentinel lymph node as the first lymph node in the pathway of lymphogenous tumor spread has been actively discussed over the past decades and has already taken its rightful place in breast and melanoma surgery. The goal of this method is to exclude vain lymphadenectomy in patients without solid tumor metastases in regional lymph nodes. In the era of minimally invasive and organ-saving operations interventions it seems obvious an idea to introduce a biopsy of sentinel lymph node in surgery of early gastric cancer. Meanwhile the complexity of lymphatic system of the stomach and the presence of so-called skip metastases are factors limiting the introduction of a biopsy of sentinel lymph node in stomach cancer. This article presents a systematic analysis of biopsy technology of signaling lymph node as well as its safety and oncological adequacy. Based on literature data it seems to us that the special value of biopsy of sentinel lymph nodes in the future will be in the selection of personalized surgical tactics for stomach cancer.

The prognostic significance of isolated tumor cells in the lymph nodes of gastric cancer patients

2010 ◽  
Vol 13 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Takeo Fukagawa ◽  
Mitsuru Sasako ◽  
Seiji Ito ◽  
Hayao Nakanishi ◽  
Hisae Iinuma ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Cancer Patients ◽  
Tumor Cells ◽  
Prognostic Significance ◽  
Isolated Tumor Cells ◽  
Gastric Cancer Patients

scholarly journals HER-2 Expression in Immunohistochemistry Has No Prognostic Significance in Gastric Cancer Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Agnieszka Halon ◽  
Piotr Donizy ◽  
Przemyslaw Biecek ◽  
Julia Rudno-Rudzinska ◽  
Wojciech Kielan ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Test Score ◽  
Prognostic Significance ◽  
Clinicopathological Parameters ◽  
Prognostic Impact ◽  
Curative Surgery ◽  
Regional Lymph Nodes ◽  
Poorly Differentiated ◽  
Her 2 ◽  
Gastric Cancer Patients

The role of HER-2 expression as a prognostic factor in gastric cancer (GC) is still controversial. The aim of the study was to asses HER-2 status, its correlations with clinicopathological parameters, and prognostic impact in GC patients. Tumor samples were collected from 78 patients who had undergone curative surgery. In order to evaluate the intensity of immunohistochemical (IHC) reactions two scales were applied: the immunoreactive score according to Remmele modified by the authors and standardised Hercep test score modified for GC by Hofmann et al. The HER-2 overexpression was detected by IHC in 23 (29.5%) tumors in Hercep test (score 2+/3+) and in 24 (30.7%) in IRS scale (IRS 4–12). The overexpression of HER-2 was associated with poorly differentiated tumors, but this correlation was not significant (P=0.064). No relationship was found between HER-2 expression and primary tumor size and degree of spread to regional lymph nodes. Both univariate and multivariate analyses revealed that TNM stage and patient’s age were the crucial negative prognostic factors. No correlation was observed between patient survival and expression of HER-2 estimated using both scales. This research did not confirm HER-2 expression (evaluated with immunohistochemistry) value as a prognostic tool in GC.

Multiple early gastric cancer associated with sarcoid-like reaction in the regional lymph nodes

2001 ◽  
Vol 36 (10) ◽  
pp. 710-717 ◽  
Author(s):  
Masayuki Nakamura ◽  
Eishi Mizuta ◽  
Hideshi Morioka ◽  
Mitsuo Nakamura ◽  
Kimio Isiglo
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Lymph Nodes ◽  
Regional Lymph Nodes

scholarly journals Two Cases of Early Gastric Cancer with Sarcoid Reaction in the Regional Lymph Nodes.

1992 ◽  
Vol 25 (10) ◽  
pp. 2520-2524 ◽  
Author(s):  
Hajime Abe ◽  
Nobukuni Terata ◽  
Hisanori Shiomi ◽  
Hiroyuki Naito ◽  
Junsuke Shibata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Lymph Nodes ◽  
Regional Lymph Nodes ◽  
Sarcoid Reaction

scholarly journals Risk Factors and Prognostic Significance of Retropancreatic Lymph Nodes in Gastric Adenocarcinoma

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Lian Xue ◽  
Xiao-Long Chen ◽  
Wei-Han Zhang ◽  
Kun Yang ◽  
Xin-Zu Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lymph Nodes ◽  
Gastric Adenocarcinoma ◽  
Prognostic Significance ◽  
Metastatic Rate ◽  
Kaplan Meier ◽  
Independent Risk Factors ◽  
Pn Stage ◽  
Lymph Nodes Dissection ◽  
Worse Prognosis

Background. The studies on risk factors and metastatic rate of retropancreatic (number 13) lymph nodes in gastric adenocarcinoma were few and the results were still controversial. The aim of this study was to elucidate risk factors and prognostic significance of number 13 lymph nodes in gastric adenocarcinoma.Method. From January 2000 to December 2011, 114 patients who underwent gastrectomy with number 13 lymph nodes dissection were enrolled and followed up to January 2014. Patients were grouped according to whether number 13 lymph nodes were positive or negative.Results. The metastatic rate of number 13 lymph nodes was 22.8%. In multivariate analysis, pT stage (P=0.027), pN stage (P=0.005), and number 11p (P=0.015) lymph nodes were independent risk factors of positive number 13 lymph nodes. In all patients (P<0.001) and subpopulation with TNM III stage (P=0.007), positive number 13 lymph nodes had significantly worse prognosis than those of patients with negative number 13 LNs in Kaplan-Meier analysis.Conclusion. Number 13 lymph nodes had relatively high metastatic rate and led to poor prognosis. pT stage, pN stage, and number 11p lymph nodes were independent risk factors of positive number 13 lymph nodes.

Sign in / Sign up

Export Citation Format

Share Document