Comparison of Clinicopathological Characteristics in the Patients with Cardiac Cancer with or without Esophagogastric Junctional Invasion: A Single-Center Retrospective Cohort Study.

IF 1.6 Q4 ONCOLOGY International Journal of Surgical Oncology Pub Date : 2013-01-01 Epub Date: 2013-01-10 DOI:10.1155/2013/189459
Hiroaki Ito, Haruhiro Inoue, Noriko Odaka, Hitoshi Satodate, Michitaka Suzuki, Shumpei Mukai, Yusuke Takehara, Tomokatsu Omoto, Shin-Ei Kudo
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引用次数: 3

Abstract

Background. This study addresses clinicopathological differences between patients with gastric cardia and subcardial cancer with and without esophagogastric junctional invasion. Methods. We performed a single-center, retrospective cohort study. We studied patients who underwent curative surgery for gastric cardia and subcardial cancers. Tumors centered in the proximal 5 cm of the stomach were classed into two types, according to whether they did (Ge) or did not (G) invade the esophagogastric junction. Results. A total of 80 patients were studied; 19 (73.1%) of 26 Ge tumors and 16 (29.6%) of 54 G tumors had lymph nodes metastases. Incidence of nodal metastasis in pT1 tumors was significantly higher in the Ge tumor group. No nodal metastasis in cervical lymph nodes was recognized. Only two patients with Ge tumors had mediastinal lymph node metastases. Incidence of perigastric lymph node metastasis was significantly higher in those with Ge tumors. Ge tumors tended to be staged as progressive disease using the esophageal cancer staging manual rather than the gastric cancer staging manual. Conclusion. Because there are some differences in clinicopathological characteristics, it is thought to be adequate to distinguish type Ge from type G tumor.

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贲门癌伴或不伴食管胃交界浸润患者的临床病理特征比较:一项单中心回顾性队列研究
背景。本研究探讨贲门癌和贲门下癌患者有无食管胃交界浸润的临床病理差异。方法。我们进行了一项单中心、回顾性队列研究。我们研究了接受胃贲门癌和心下癌手术治疗的患者。以胃近端5cm为中心的肿瘤根据有无侵犯食管胃交界(G)分为两类。结果。共研究了80例患者;26例Ge肿瘤中有19例(73.1%)发生淋巴结转移,54例G肿瘤中有16例(29.6%)发生淋巴结转移。Ge肿瘤组pT1肿瘤淋巴结转移发生率明显增高。未发现颈淋巴结转移。只有2例Ge肿瘤发生纵隔淋巴结转移。胃癌组胃周淋巴结转移发生率明显增高。使用食管癌分期手册而非胃癌分期手册,胃癌肿瘤倾向于分期为进展性疾病。结论。由于两者在临床病理特征上存在一定差异,因此认为区分Ge型和G型肿瘤是足够的。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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