Ishihara S, Nakajima T, Ota K, Oyama S, Wakabayashi K, Nishi M
Division of Surgery, Cancer Institute Hospital.
Gan To Kagaku Ryoho. 1994 Aug;21(11):1758-61.
Now we use the nodal grade (N, n) as a prognostic indicator in patients with gastric cancer according to the general rules for the gastric cancer study. But there are both of patients with good and poor prognosis in the same nodal grade. Then we analyzed the survival of patients with gastric cancer based on the nodal grade and the number involved lymph nodes, and discussed the new prognostic indicator with both of them. We classified the three groups based on the number of involved nodes as follows: 0.1-4.5-. There is the differences in survival between each pair of groups statistically. The relationship between the nodal grade (N, n) and the number of lymph node metastasis is that the survival of patients with involved nodes more than five is equal to the survival of the patients with high nodal grade and involved nodes 1-4. Therefore it suggest that the new grading consisting of them will be more better prognostic indicator.
目前,根据胃癌研究的一般规则,我们将淋巴结分级(N,n)用作胃癌患者的预后指标。但在相同的淋巴结分级中,既有预后良好的患者,也有预后较差的患者。然后,我们基于淋巴结分级和受累淋巴结数量分析了胃癌患者的生存率,并讨论了将两者结合的新预后指标。我们根据受累淋巴结数量将患者分为三组:0、1 - 4、5及以上。每组之间的生存率存在统计学差异。淋巴结分级(N,n)与淋巴结转移数量之间的关系是,受累淋巴结超过5个的患者的生存率与淋巴结分级高且受累淋巴结为1 - 4个的患者的生存率相等。因此,这表明由它们组成的新分级将是更好的预后指标。