지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.4
- 수록면
- 219 - 226 (8page)
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초록· 키워드
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Purpose: The aim of this study was to investigate the clinicopathologic features and prognosis in patients with computed tomography (CT) findings of ascites, with a focus on the correlation with peritoneal carcinomatosis. Methods: This study included a total of 157 patients who underwent surgery for advanced gastric cancer from 2003 to 2008 at the Department of Surgery, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea, which were analyzed retrospectively. Results: Fourteen patients (8.9%) presented ascites on their CT scan. Among them, 10 patients had peritoneal carcinomatosis, and showed significant difference with CT ascites positive group in the incidence of peritoneal carcinomatosis. The presence of CT ascites was significantly correlated with pathologic T stage, tumor size, histologic type, CT T and N stages, CT peritoneal nodularity and curability of surgery, statistically. The prognosis of CT ascites positive group was much poorer in the total advanced gastric cancer patients (P ＜ 0.001), as well as in patients with pathologic T4 (P = 0.002). Also in patients without peritoneal carcinomatosis, CT ascites positive subgroup tended to have a worse prognosis than CT ascites negative subgroup (P = 0.086). Tumor size, CT T and N stages and the presence of CT peritoneal nodularity and ascites influenced the prognosis significantly; among which, if a tumor size larger than 5 cm, CT T4 stage and the presence of CT ascites were identified as independent prognostic factors. Conclusion: The presence of ascites was closely associated with peritoneal metastasis, and was the most significant independent prognostic factor in advanced gastric cancer in the present study.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Sadeghi B / 2000 / Peritoneal carcinomatosis from non-gynecologic malignancies: results of the EVOCAPE 1 multicentric prospective study / Cancer 88 : 358 ~ 363
2. [학술지(정기간행물)] - Ajani JA / 1999 / Enhanced staging and all chemotherapy preoperatively in patients with potentially resectable gastric carcinoma / J Clin Oncol 17 : 2403 ~ 2411
3. [학술지(정기간행물)] - Chau I / 2004 / Multivariate prognostic factor analysis in locally advanced and metastatic esophago-gastric cancer--pooled analysis from three multicenter, randomized, controlled trials using individual patient data / J Clin Oncol 22 : 2395 ~ 2403
4. [학술지(정기간행물)] - Cady B / 1989 / Gastric adenocarcinoma. A disease in transition / Arch Surg 124 : 303 ~ 308
5. [학술지(정기간행물)] - D'Elia F / 2000 / Hydro-dynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases / Eur Radiol 10 : 1877 ~ 1885
2. [학술지(정기간행물)] - Ajani JA / 1999 / Enhanced staging and all chemotherapy preoperatively in patients with potentially resectable gastric carcinoma / J Clin Oncol 17 : 2403 ~ 2411
3. [학술지(정기간행물)] - Chau I / 2004 / Multivariate prognostic factor analysis in locally advanced and metastatic esophago-gastric cancer--pooled analysis from three multicenter, randomized, controlled trials using individual patient data / J Clin Oncol 22 : 2395 ~ 2403
4. [학술지(정기간행물)] - Cady B / 1989 / Gastric adenocarcinoma. A disease in transition / Arch Surg 124 : 303 ~ 308
5. [학술지(정기간행물)] - D'Elia F / 2000 / Hydro-dynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases / Eur Radiol 10 : 1877 ~ 1885
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UCI(KEPA) : I410-ECN-0101-2013-514-002677143