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논문 기본 정보

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학술저널
저자정보
Shin Seung Yong (Department of Internal Medicine Gangnam Severance Hospital Yonsei University College of Medicine Se) Kim Jie-Hyun (Department of Internal Medicine Gangnam Severance Hospital Yonsei University College of Medicine Se) Kook Myeong-Cherl (Department of Pathology Center for Gastric Cancer National Cancer Center Goyang Korea) Park Do Youn (Department of Pathology Pusan National University Hospital Pusan National University School of Medi) Ryu Keun Won (Department of Surgery Center for Gastric Cancer National Cancer Center Goyang Korea) Choi Il Ju (Department of Internal Medicine Center for Gastric Cancer National Cancer Center Goyang Korea) Noh Sung Hoon (Department of Surgery Severance Hospital Yonsei University College of Medicine Seoul Korea) Kim Hyunki (Department of Pathology Severance Hospital Yonsei University College of Medicine Seoul Korea) Lee Yong Chan (Department of Internal Medicine Severance Hospital Yonsei University College of Medicine Seoul Kore)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제1호
발행연도
2021.1
수록면
44 - 52 (9page)

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Background/Aims: Papillary gastric cancer (GC) is classified as differentiated adenocarcinoma, together with well-differentiated (WD) and moderately differentiated (MD) adenocarcinoma. This study evaluated the risk of lymph node metastasis (LNM) in submucosal (SM) invasive papillary GC compared with other differentiated early GC types. Methods: This retrospective study involved three tertiary hospitals and enrolled 1,798 lesions with differentiated SM invasive GC treated with curative gastrectomy between March 2001 and December 2012. All pathology slides were reviewed, and clinicopathologic findings associated with LNM, including tumor size, location, gross type, ulceration, depth and width of SM invasion, and lymphovascular invasion (LVI), were analyzed. Results: The proportion of SM papillary GC was 2.8% (n=51). SM papillary GC was associated with larger tumor size and deeper and wider SM invasion than other differentiated GC types. LNM was significantly higher in the papillary type than in the MD and WD types. LNM was found in 27.5% of SM papillary GC patients (WD: 9.0%, MD: 21.2%). LVI was the only significant risk factor for LNM in SM papillary GC. The depth or width of SM invasion was not associated with LNM in papillary GC. Lower third location or elevated gross appearance was significantly associated with LVI. Conclusions: SM papillary GC had the highest LNM rate, with features different from those of other differentiated SM invasive GCs. The treatment strategy for SM papillary GC should be carefully approached, especially for lesions located in the lower third or of the elevated gross type.
#Stomach neoplasm #Adenocarcinoma #papillary #Lymphatic metastasis #Risk factors

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참고문헌 (43)

참고문헌 신청
Hu B / 2012 / Gastric cancer : classification, histology and application of molecular pathology / J Gastrointest Oncol 3:251~261 google schola Japanese Gastric Cancer Association / 2011 / Japanese classification of gastric carcinoma : 3rd English edition / Gastric Cancer 14:101~112 google schola Lauren P / 1965 / The two histological main types of gastric carcinoma : diffuse and so-called intestinal-type carcinoma. An attempt at a histo-clinical classification / Acta Pathol Microbiol Scand 64:31~49 google schola Yasuda K / 2000 / Papillary adenocarcinoma of the stomach / Gastric Cancer 3:33~38 google schola Sekiguchi M / 2013 / Risk factors for lymphatic and venous involvement in endoscopically resected gastric cancer / J Gastroenterol 48:706~712 google schola

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