Berlth Felix, Chon Seung-Hun, Chevallay Mickael, Jung Minoa Karin, Mönig Stefan Paul
Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
Division of Digestive and Transplant Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland.
Transl Gastroenterol Hepatol. 2017 Feb 7;2:8. doi: 10.21037/tgh.2017.01.08. eCollection 2017.
An accurate preoperative staging of nodal status is crucial in gastric cancer, because it has a great impact on prognosis and therapeutic decision-making. Different staging methods have been evaluated for gastric cancer in order to predict nodal involvement. So far, no technique could meet the necessary requirements, which include a high detection rate of infiltrated lymph nodes and a low frequency of false-positive results. This article summarizes different staging methods used to assess lymph node status in patients with gastric cancer, evaluates the evidence, and proposes to establish new methods.
准确的术前淋巴结状态分期对胃癌至关重要,因为它对预后和治疗决策有很大影响。为了预测淋巴结受累情况,已对不同的胃癌分期方法进行了评估。到目前为止,尚无技术能够满足必要要求,这些要求包括浸润淋巴结的高检出率和低假阳性结果发生率。本文总结了用于评估胃癌患者淋巴结状态的不同分期方法,评估了相关证据,并提议建立新的方法。