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Research ArticleOriginal Article

Defining a Subgroup Treatable for Laparoscopic Surgery in Poorly Differentiated Early Gastric Cancer: the Role of Lymph Node Metastasis

Zhi-bin Huo, Shuo-po Chen, Hua Li and Dian-chao Wu
Cancer Biology & Medicine March 2012, 9 (1) 54-56; DOI: https://doi.org/10.3969/j.issn.2095-3941.2012.01.010
Zhi-bin Huo
1Department of Surgical Oncology
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Shuo-po Chen
2Department of Surgical Urology, Affiliated Xingtai People Hospital of Hebei Medial University, Xingtai 054001, China
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Hua Li
1Department of Surgical Oncology
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Dian-chao Wu
1Department of Surgical Oncology
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Article Figures & Data

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    Table 1

    Univariate analysis of potential risk characteristics for lymph node metastasis.

    CharacteristicsLymph node metastasis positive number (%)P
    Gender
     Male (n=49)6 (12.2)0.523
     Female (n=21)4 (19.0)
    Age, years
     <60 (n = 65)9 (13.8)0.748
     ≥60 (n = 5)1 (20.0)
    Family history
     Positive (n = 1)00.704
     Negative (n = 69)10 (14.5)
    Number of tumors
     Single (n = 68)10 (14.7)0.588
     Multitude (n = 2)0
    Location
     Upper (n = 16)3 (20.0)0.683
     Middle (n=4)0
     Lower (n = 50)7 (14.0)
    Tumor size, cm
     ≤2 (n=45)2 (4.4)0.008
     >2 (n=25)8 (32.0)
    Macroscopic type
     I (n=0)00.171
     II (n=55)8 (13.6)
     III (n = 15)2 (40.0)
    Depth of invasion
     Mucosa (n=46)2 (4.3)0.006
     Submucosa (n = 24)8 (33.3)
    Lymphatic vessel involvement
     Positive (n=11)6 (54.5)0.001
     Negative (n=59)4 (6.8)
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    Table 2

    Multivariate analysis of potential risk factors for lymph node metastasis.

    CharacteristicsHR95%CIP
    Tumor size, cm
     ≤2 (n=45)6.2351.150–35.1120.038
     >2 (n=25)
    Depth of invasion
     Mucosa (n=46)13.3541.371–97.0140.031
     Submucosa (n = 24)
    Lymphatic vessel involvement
     Positive (n = 11)32.0121.657–185.3970.017
     Negative (n = 59)
    • View popup
    Table 3

    Relationship between the number of risk factors and lymph node metastasis in poorly differentiated EGC.

    No. of positive risk factorsNodal metastasis rate, % (n)
    None0 (0/25)
    One6.9 (2/29)
    Two45.5 (5/11)
    Three60.0 (3/5)
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Cancer Biology and Medicine: 9 (1)
Cancer Biology & Medicine
Vol. 9, Issue 1
1 Mar 2012
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Defining a Subgroup Treatable for Laparoscopic Surgery in Poorly Differentiated Early Gastric Cancer: the Role of Lymph Node Metastasis
Zhi-bin Huo, Shuo-po Chen, Hua Li, Dian-chao Wu
Cancer Biology & Medicine Mar 2012, 9 (1) 54-56; DOI: 10.3969/j.issn.2095-3941.2012.01.010

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Defining a Subgroup Treatable for Laparoscopic Surgery in Poorly Differentiated Early Gastric Cancer: the Role of Lymph Node Metastasis
Zhi-bin Huo, Shuo-po Chen, Hua Li, Dian-chao Wu
Cancer Biology & Medicine Mar 2012, 9 (1) 54-56; DOI: 10.3969/j.issn.2095-3941.2012.01.010
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Keywords

  • Gastric cancer
  • lymph nodes
  • metastasis
  • laparoscopy

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