Evidence map›Paper›PMID 25566962›Full record

ArticleTumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine2015

The 7th AJCC/UICC TNM staging system may be not suitable in predicting prognosis of synchronous multiple gastric carcinoma patients with D2 gastrectomy.

Xiaolong Tang, Zhongmin Lan, Yingtai Chen, Jianwei Zhang, Xu Che, Chengfeng Wang

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Article in Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Xiaolong TangDepartment of Abdominal Surgery, Cancer Institute & Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.17, South of Pan Jiayuan Street, Chaoyang District, Beijing, China.
Zhongmin Lan
Yingtai Chen
Jianwei Zhang
Xu Che
Chengfeng Wang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the suitability of the 7th AJCC/UICC TNM staging system in predicting the prognosis of synchronous multiple gastric carcinomas (SMGCs). A total of 129 SMGC patients who underwent gastrectomy with D2 lymphadenectomy from January 1999 to January 2009 were enrolled in this study. The location, diameter, and depth of invasion of the main tumor were all related to prognosis (P < 0.05). Multivariate analysis revealed depth of invasion as an independent predictive factor for survival (P < 0.05). Interestingly, logistic regression analysis showed that the 7th AJCC/UICC N staging system was unable to significantly predict survival in SMGCS patients (P > 0.05). Cut-point survival analysis identified the most appropriate cut-offs for metastatic lymph nodes (MLNs) as 0, 1, 6, 10, and 19: patients with 0, 1-6, 7-10, and 11-19, and ≥ 20 MLNs had median survival times of 70, 56, 35, 52, and 32 months, respectively. Multivariate analysis suggested this new categorization of MLNs to be a significant predictor of survival (P < 0.05). Preoperative assessment of depth of invasion can help in the prognosis of SMGCs patients. The 7th UICC TNM staging system may be not suitable for SMGC patients and needs improvement for rational grading of SMGCs.

Indexed as

PrognosisAdultAgedCarcinomaFemaleGastrectomyHumansLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessNeoplasms, Multiple PrimaryNeoplasm StagingPalliative CareStomach Neoplasms

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.