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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 236 - 245 (10page)
- DOI
- 10.5230/jgc.2021.21.e22
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초록· 키워드
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Purpose: The numeric N stage has replaced the topographic N stage in the current tumor node metastasis (TNM) staging in gastric carcinoma. However, the usefulness of the topographic N stage in the current TNM staging system is uncertain. We aimed to investigate the prognostic value of the topographic N stage in the current TNM staging system.
Materials and Methods: We reviewed the data of 3350 patients with gastric cancer who underwent curative gastrectomy. The anatomic regions of the metastatic lymph nodes (MLNs) were classified into 2 groups: perigastric and extra-perigastric. The prognostic value of the anatomic region was analyzed using a multivariate prognostic model with adjustments for the TNM stage.
Results: In patients with lymph node metastasis, extra-perigastric metastasis demonstrated significantly worse survival than perigastric metastasis alone (5-year survival rate, 39.6% vs.
73.1%, respectively, P<0.001). Extra-perigastric metastasis demonstrated significantly worse survival within the same pN stage; the multivariate analysis indicated that extra-perigastric metastasis was an independent poor prognostic factor (hazard ratio=1.33; 95% confidence interval=1.01?1.75). The anatomic region of the MLNs improved the goodness-of-fit (likelihood ratio statistics, 4.57; P=0.033) of the prognostic model using the TNM stage.
Conclusions: The anatomic region of MLNs has an independent prognostic value in the numeric N stage in the current TNM staging of gastric carcinoma.
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참고문헌 (24)
참고문헌 신청
Sung H / 2021 / Global cancer statistics 2020 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries / CA Cancer J Clin 71:209~249
홍세리 / 2021 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2018 / Cancer Research and Treatment 53(2):301~315
Ilson DH / 2018 / Advances in the treatment of gastric cancer / Curr Opin Gastroenterol 34:465~468
Batista TP / 2012 / Lymph node dissection for gastric cancer : a critical review / Oncol Rev 6:e12
Murakami T / 1973 / The general rules for The gastric cancer study in surgery / Jpn J Surg 3:61~71
홍세리 / 2021 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2018 / Cancer Research and Treatment 53(2):301~315
Ilson DH / 2018 / Advances in the treatment of gastric cancer / Curr Opin Gastroenterol 34:465~468
Batista TP / 2012 / Lymph node dissection for gastric cancer : a critical review / Oncol Rev 6:e12
Murakami T / 1973 / The general rules for The gastric cancer study in surgery / Jpn J Surg 3:61~71
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