Ventura L, Chiominto A, Discepoli S, Ventura T, Di Giacomo C, Leocata P
U. O. di Anatomia ed Istologia Patologica, Azienda USL 4, L'Aquila, Italy.
J Exp Clin Cancer Res. 2002 Jun;21(2):225-7.
The Goseki grading system, based on intracellular mucin content and tubular differentiation, was originally created to study the influence of histologic type on the mode of extension of gastric carcinoma. The prognostic value of this grading system was subsequently proposed and even recently supported, but controversies still remain about this topic. We applied the Goseki system on 114 cases of node-negative primary gastric cancer and compared Goseki groups with the other clinicopathologic features of the patients. Statistical analysis showed a significant correlation between Goseki grading and Laurèn classification, but failed to reveal any prognostic significance for this grading system. We believe that Goseki classification should not be routinely used for prognostic purposes.
基于细胞内黏液含量和管状分化的五木分级系统最初是为研究组织学类型对胃癌扩展方式的影响而创建的。该分级系统的预后价值随后被提出,甚至最近仍得到支持,但关于这个话题的争议仍然存在。我们将五木系统应用于114例淋巴结阴性的原发性胃癌病例,并将五木分级组与患者的其他临床病理特征进行比较。统计分析显示五木分级与劳伦分类之间存在显著相关性,但未能揭示该分级系统的任何预后意义。我们认为五木分类不应常规用于预后目的。