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
- 2023.4
- 수록면
- 355 - 364 (10page)
- DOI
- 10.5230/jgc.2023.23.e18
이용수
초록· 키워드
오류제보하기
Background: There are no clear guidelines to determine whether to perform D1 or D1+ lymph node dissection in early gastric cancer (EGC). This study aimed to develop a nomogram for estimating the risk of extraperigastric lymph node metastasis (LNM).
Materials and Methods: Between 2009 and 2019, a total of 4,482 patients with pathologically confirmed T1 disease at 6 affiliated hospitals were included in this study. The basic clinicopathological characteristics of the positive and negative extraperigastric LNM groups were compared. The possible risk factors were evaluated using univariate and multivariate analyses. Based on these results, a risk prediction model was developed. A nomogram predicting extraperigastric LNM was used for internal validation.
Results: Multivariate analyses showed that tumor size (cut-off value 3.0 cm, odds ratio [OR]=1.886, P=0.030), tumor depth (OR=1.853 for tumors with sm2 and sm3 invasion, P=0.010), cross-sectional location (OR=0.490 for tumors located on the greater curvature, P=0.0303), differentiation (OR=0.584 for differentiated tumors, P=0.0070), and lymphovascular invasion (OR=11.125, P<0.001) are possible risk factors for extraperigastric LNM. An equation for estimating the risk of extraperigastric LNM was derived from these risk factors. The equation was internally validated by comparing the actual metastatic rate with the predicted rate, which showed good agreement.
Conclusions: A nomogram for estimating the risk of extraperigastric LNM in EGC was successfully developed. Although there are some limitations to applying this model because it was developed based on pathological data, it can be optimally adapted for patients who require curative gastrectomy after endoscopic submucosal dissection.
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Survival impact of compliance of extraperigastric lymph node dissection during radical gastrectomy for gastric cancer based on 20 years real world data from single institution
대한임상종양학회 학술대회지
2020 .07
-
Histopathologic risk factors for lymph node metastasis in patients with T1 colorectal cancer
Annals of Surgical Treatment and Research
2017 .11
-
Scoring Model Based on Nodal Metastasis Prediction Suggesting an Alternative Treatment to Total Gastrectomy in Proximal Early Gastric Cancer
Journal of Gastric Cancer
2022 .03
-
The influence of the extent of lymph node metastasis on the prognosis for patients with intrahepatic cholangiocarcinoma
Annals of Surgical Treatment and Research
2023 .05
-
Prediction of Lymph Node Metastasis by Tumor Dimension Versus Tumor Biological Properties in Head and Neck Squamous Cell Carcinomas
Cancer Research and Treatment
2016 .01
-
두경부암의 림프절 전이 기전
대한이비인후-두경부외과학회지
2016 .01
-
갑상선 유두암 T1, T2 병기 환자에서 중앙경부 림프절 전이의 빈도와 예측인자
The Journal of Endocrine Surgery
2015 .01
-
Pretreatment Lymph Node Metastasis as a Prognostic Significance in Cervical Cancer: Comparison between Disease Status
Cancer Research and Treatment
2020 .01
-
Clinical significance of additional gastrectomy after non-curative endoscopic submucosal dissection for early gastric cancer: a retrospective single-center study
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2021 .12
-
Role of systematic lymphadenectomy in patients with intermediate to high- risk early stage endometrial cancer
Journal of Gynecologic Oncology
2023 .05
-
Tumor grade 2 as the independent predictor for lymph node metastasis in 10–20 mm sized rectal neuroendocrine tumor
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2021 .06
-
Clinical Implications of Microsatellite Instability in T1 Colorectal Cancer
Yonsei Medical Journal
2015 .01
-
MicroRNAs and Lymph Node Metastasis in Papillary Thyroid Cancers
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Clinicopathological Characteristics and Lymph Node Metastasis Rates in Early Gastric Lymphoepithelioma-Like Carcinoma: Implications for Endoscopic Resection
Gut and Liver
2024 .09
-
Risk factors for lymph node metastasis in early gastric cancer without lymphatic invasion after endoscopic submucosal dissection
대한외과학회 학술대회 초록집
2019 .10
-
Mechanisms of the Impact of Hashimoto Thyroiditis on Papillary Thyroid Carcinoma Progression: Relationship with the Tumor Immune Microenvironment
Endocrinology and Metabolism
2020 .01
-
Endoscopic Submucosal Dissection for Early Gastric Cancers with Uncommon Histology
Clinical Endoscopy
2016 .01
-
Potential of AKT2 expression as a predictor of lymph-node metastasis in invasive breast carcinoma of no special type
Journal of Pathology and Translational Medicine
2021 .01
-
Evaluation of cervical lymph node metastasis in thyroid cancer patients using real-time CT-navigated ultrasonography: preliminary study
ULTRASONOGRAPHY
2015 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0