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[评估胃周转移淋巴结数量对胃癌患者预后的价值]

[Evaluation the value of number of metastatic perigastric lymph nodes on prognosis in patients with gastric cancer].

作者信息

Liu Feng-lin, Tang Zhao-qing, Wang Xue-fei, Shen Zhen-bin, Qin Xin-yu, Sun Yi-hong

机构信息

Department of General Surgery, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2009 Mar;12(2):133-6.

PMID:19296246
Abstract

OBJECTIVE

To find out a simple and reproductive prognostic index in gastric cancer patients,which can be used as a comparable parameter among different regions of China.

METHODS

The perigastric metastatic lymph nodes(PGMLN) with long-term survival data were retrospectively evaluated in 148 gastric cancer patients, undergone potentially curative resections.

RESULTS

The 3-year cumulative survival rate was 62.8% and the survival rate decreased significantly with the increase of PGMLN, especially when the PGMLN was more than 6. The PGMLN had a clear linear relationship with total positive lymph nodes(r=0.94, P<0.01), while it had little correlation with total resected lymph nodes(r=0.18,P=0.2).

CONCLUSIONS

PGMLN is a convenient and reliable prognostic factor in gastric cancer patients, which may be a good candidate of comparable parameters among different regions of China.

摘要

目的

探寻一种简单且可重复的胃癌患者预后指标,其能够作为中国不同地区间的可比参数。

方法

对148例行根治性切除的胃癌患者中具有长期生存数据的胃周转移淋巴结(PGMLN)进行回顾性评估。

结果

3年累积生存率为62.8%,生存率随PGMLN数量增加而显著下降,尤其是当PGMLN超过6枚时。PGMLN与阳性淋巴结总数呈明显线性关系(r=0.94,P<0.01),而与切除淋巴结总数相关性较小(r=0.18,P=0.2)。

结论

PGMLN是胃癌患者方便且可靠的预后因素,可能是中国不同地区间可比参数的良好候选指标。

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[Evaluation the value of number of metastatic perigastric lymph nodes on prognosis in patients with gastric cancer].[评估胃周转移淋巴结数量对胃癌患者预后的价值]
Zhonghua Wei Chang Wai Ke Za Zhi. 2009 Mar;12(2):133-6.
2
Association of the number of metastatic perigastric lymph nodes with long-term survival in gastric cancer.胃癌胃周转移淋巴结数量与长期生存的相关性
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Hepatogastroenterology. 2000 Sep-Oct;47(35):1475-8.
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Perigastric lymph node status as a prognostic indicator in patients with gastric cancer.胃周淋巴结状态作为胃癌患者的预后指标
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Prognostic significance of metastatic lymph node ratio in T3 gastric cancer.T3期胃癌中转移淋巴结比率的预后意义
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The most appropriate category of metastatic lymph nodes to evaluate overall survival of gastric cancer following curative resection.评估胃癌根治性切除术后总生存的最适宜转移性淋巴结类别。
J Surg Oncol. 2008 Oct 1;98(5):343-8. doi: 10.1002/jso.21119.