Clinicopathologic study of node-negative advanced gastric cancer and analysis of factors predicting its recurrence and prognosis

Hsu Huan Chou, Chia Jung Kuo, Jun Te Hsu*, Tsung Hsing Chen, Chun Jun Lin, Jeng Hwei Tseng, Ta Sen Yeh, Tsann Long Hwang, Yi Yin Jan

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

41 Scopus citations

Abstract

Background: This study aimed to reveal the predictors for the recurrence pattern of gastric cancer (GC) and analyze the prognostic factors in node-negative advanced (T2 to T4) GC after curative resection. Methods: Between 1994 and 2006, 448 patients with node-negative advanced GC undergoing radical resection were enrolled in this study. Clinicopathologic factors affecting the recurrence pattern and prognosis for GC were analyzed. Results: Location, size, tumor invasion depth, and perineural invasion were associated with tumor recurrence and outcome. T4 status was a predictor for locoregional recurrence and peritoneal seeding, and a large tumor size and the presence of perineural invasion predicted hematogenous spread. Patients with only locoregional recurrence had better survival than those with peritoneal seeding or hematogenous spread. Conclusions: In node-negative advanced GC, the prognostic factor differed significantly between locoregional recurrence/peritoneal seeding and hematogenous metastasis. Survival rates were higher in patients with locoregional recurrence alone than in patients with other recurrence patterns.

Original languageEnglish
Pages (from-to)623-630
Number of pages8
JournalAmerican Journal of Surgery
Volume205
Issue number6
DOIs
StatePublished - 06 2013

Keywords

  • Advanced gastric adenocarcinoma
  • Node negative
  • Prognostic factor
  • Recurrence pattern

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