Risk Factors for Lymph Node Metastasis in Undifferentiated Early Gastric Cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-11-28

AUTHORS

Chen Li, Sungsoo Kim, Ji Fu Lai, Sung Jin Oh, Woo Jin Hyung, Won Hyuk Choi, Seung Ho Choi, Zheng Gang Zhu, Sung Hoon Noh

ABSTRACT

BackgroundEndoscopic surgery has not been accepted as a curative treatment for intramucosal undifferentiated early gastric cancer (EGC). The purpose of this study was to evaluate the predictive factors of lymph node metastasis and explore the possibility of using endoscopic surgery for undifferentiated EGC.MethodsWe retrospectively analyzed 646 patients with undifferentiated EGC who had undergone gastrectomy with D2 lymphadenectomy from January 2000 to March 2005. We used univariate and multivariate analysis to identify clinicopathological features that were predictive factors for lymph node metastasis.ResultsThe incidence of lymph node metastasis was 4.2% in intramucosal and 15.9% in submucosal undifferentiated EGC. Multivariate analysis revealed that submucosal invasion, larger tumor size (greater than 2 cm), and presence of lymphovascular invasion (LVI), were significantly associated with lymph node metastasis in patients with undifferentiated EGC. Tumor size and LVI were independent risk factors for lymph node metastasis in cases of intramucosal EGC. Lymph node metastasis was found in only one patient (0.5%) who had neither of the two risk factors for intramucosal EGC.ConclusionComplete endoscopic resection may be acceptable as a curative treatment for intramucosal undifferentiated EGC when the tumor size is less than or equal to 2 cm, and when LVI is absent in the postoperative histological examination. Radical gastrectomy should be recommended if LVI or unexpected submucosal invasion is present. More... »

PAGES

764-769

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-007-9707-y

DOI

http://dx.doi.org/10.1245/s10434-007-9707-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031534495

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18043971


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