Transverse Mesocolon Invasion in Advanced Gastric Cancer: Should We Reconsider Current T Staging? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-05

AUTHORS

Jong Won Kim, Seong-Ho Kong, Min A Kim, Woo Ho Kim, Hyuk-Joon Lee, Kuhn Uk Lee, Han-Kwang Yang

ABSTRACT

BACKGROUND: According to the AJCC/UICC TNM classification, T mesocolon invasion in AGC is classified as T2b or T3 according to the presence or the absence of serosa invasion. However, many authors have considered T mesocolon invasion in AGC as T4. This study was performed to evaluate the appropriate T stage for T mesocolon invasion in AGC. MATERIALS AND METHODS: From 1996 to 2008, 90 patients underwent curative gastrectomy with T mesocolon excision at the authors' institute under the suspicion of T mesocolon invasion based on surgical findings and without pathologic invasion to any other organ. Histopathologic findings were reviewed to determine whether tumors had invaded the T mesocolon. Survival data of AGC patients registered in the SNUH database (N = 9998, from 1986 to 2007) was used as reference data for comparative purposes. RESULTS: A total of 27 patients (30%) had proven histopathological invasion of the T mesocolon, and a significant difference in survival rates was found between these 27 and the remaining 63 (P = .012). As compared with the SNUH database population, the survival rate of T mesocolon invasion patients differed from those of T2b (P < .001) and T3 (P = .043) patients, but was similar to that of T4 patients (P = .218). Furthermore, for N1 stage patients, the survival rate differed from those of T2b (P = .001) and T3 (P = .046) patients, but was similar to that of T4 patients (P = .744). CONCLUSIONS: The T stage of T mesocolon invasion in AGC should be revised to AJCC/UICC stage T4, because the survival rate of T mesocolon invasion AGC is lower than that of stage T2b or T3. More... »

PAGES

1274-1281

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-010-1485-2

DOI

http://dx.doi.org/10.1245/s10434-010-1485-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000342596

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21369743


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