ASSESSMENT LYMPHO NODE METASTASIS AND SOME RELATED FACTORS OF STAGE pT1 GASTRIC CANCER AFTER RADICAL SURGERY
Main Article Content
Abstract
Aims: Description of lymph node metastasis on histopathological of stomach cancer pT1 stage after radical surgery and some related factors. Patient and Methods: This is a retrospective and perspective description study of patients who had gastric cancer and underwent surgical management with histopathological results determinded pT1a, pT1b in National Cancer Hospital from January, 2019 to June, 2023. Results: A total of 153 patients with stage pT1 gastric cancer were enrolled. Of these patients, 91 (59,5%) were men, and 62 (40,5%) were women, ranging in age from 32 to 82 years (mean 60,5 ± 10,1 years). Lympho node metastasis was detected in 27(17,6%) patients with stage pT1 gastric cancer pT1. Among 62 patients with mucosal cancer, 4/61 (6,8%) patients had lympho node metastasis. In 91 patients with submucosal cancer, the incidence of lympho node metastasis was 23/100 (24,4 %). The depth of invasion, sex, tumor size and lymphovascular invasion showed a significant correlation with the rate of lympho node metastasis in early gastric cancer by univariate analyses. Conclusion: The rate of lympho node mestasis in stage pT1 gastric cancer was quite high, 17,6%. The depth of invasion, sex, tumor size, lymphovascular invasion were independent risk factor associated with lympho node metastasis in stage pT1 gastric cancer
Article Details
Keywords
Stage pT1 Gastric cancer, lympho node metastasis, risk factors, National cancer hospital.
References
1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, và c.s. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021; 71(3):209–49.
2. Kajitani T,et al (1981). The general rules for the gastric cancer study in surgery and pathology. Part I. Clinical classification. Jpn J Surg.11:127–39.
3. Noh SH, Hyung WJ, Cheong JH. Minimally invasive treatment for gastric cancer: approaches and selection process. J Surg Oncol. 2005; 90(3):188–93; discussion 193-194.
4. Chen, J., Zhao, G. & Wang, et al (2020). Analysis of lymph node metastasis in early gastric cancer: a single institutional experience from China. World J Surg Onc 18, 57
5. Li X, Liu S, Yan J, Peng L, Chen M, Yang J, và c.s. The Characteristics, Prognosis, and Risk Factors of Lymph Node Metastasis in Early Gastric Cancer. Gastroenterol Res Pract. 2018; 2018: 6945743.
6. Wang Z, Ma L, Zhang XM, Zhou ZX. Risk of lymph node metastases from early gastric cancer in relation to depth of invasion: experience in a single institution. Asian Pac J Cancer Prev. 2014;15(13):5371–5.
7. Bausys R, Bausys A, Vysniauskaite I, Maneikis K, Klimas D, Luksta M, và c.s. Risk factors for lymph node metastasis in early gastric cancer patients: Report from Eastern Europe country- Lithuania. BMC Surg. 2017;17(1):108.
2. Kajitani T,et al (1981). The general rules for the gastric cancer study in surgery and pathology. Part I. Clinical classification. Jpn J Surg.11:127–39.
3. Noh SH, Hyung WJ, Cheong JH. Minimally invasive treatment for gastric cancer: approaches and selection process. J Surg Oncol. 2005; 90(3):188–93; discussion 193-194.
4. Chen, J., Zhao, G. & Wang, et al (2020). Analysis of lymph node metastasis in early gastric cancer: a single institutional experience from China. World J Surg Onc 18, 57
5. Li X, Liu S, Yan J, Peng L, Chen M, Yang J, và c.s. The Characteristics, Prognosis, and Risk Factors of Lymph Node Metastasis in Early Gastric Cancer. Gastroenterol Res Pract. 2018; 2018: 6945743.
6. Wang Z, Ma L, Zhang XM, Zhou ZX. Risk of lymph node metastases from early gastric cancer in relation to depth of invasion: experience in a single institution. Asian Pac J Cancer Prev. 2014;15(13):5371–5.
7. Bausys R, Bausys A, Vysniauskaite I, Maneikis K, Klimas D, Luksta M, và c.s. Risk factors for lymph node metastasis in early gastric cancer patients: Report from Eastern Europe country- Lithuania. BMC Surg. 2017;17(1):108.