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Published in: Langenbeck's Archives of Surgery 1/2009

01-01-2009 | Original Article

Clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival

Authors: Hiroaki Saito, Yoshinori Yamada, Shunichi Tsujitani, Masahide Ikeguchi

Published in: Langenbeck's Archives of Surgery | Issue 1/2009

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Abstract

Purpose

To demonstrate clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival.

Methods

We retrospectively reviewed 202 advanced gastric cancer patients who underwent noncurative gastrectomy.

Results

The long-term survivors who survived for more than 3 years comprised four of 65 patients with a residual tumor in the peritoneum, one of 50 patients with a residual tumor from lymph node metastasis, three of 41 patients positive for the resected margin (M-factor) and 17 of 153 patients with free intraperitoneal cancer cells (Cy-factor). Multivariate analysis indicated that independent indicators affecting survival were lymph node metastasis and peritoneal metastasis in patients with the Cy-factor and histology in patients with the M-factor.

Conclusions

Long-term survival can only be expected in patients with the Cy-factor who have neither macroscopic peritoneal metastasis nor lymph node metastasis or in patients with the M-factor who have a well-differentiated tumor.
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Metadata
Title
Clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival
Authors
Hiroaki Saito
Yoshinori Yamada
Shunichi Tsujitani
Masahide Ikeguchi
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 1/2009
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-008-0398-z

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