ArticleJournal of gastric cancer2018
Is Lymph Node Size a Reliable Factor for Estimating Lymph Node Metastasis in Early Gastric Cancer?
Article in Journal of gastric cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Clinical Implications of Metastatic Nodal Burden: Stratifying Risk in Resected N1 and N2 NSCLC.Annals of surgical oncology · 2026Article
- Risk Factors for Mediastinal Lymph-Node Metastasis in Siewert Type I/II Esophagogastric Junction Cancers.Cancers · 2026Article
- Gastric cancer with a giant lymph node metastasis: a case report and review of the literature.Clinical journal of gastroenterology · 2023Review
- pT1-2 gastric cancer with lymph node metastasis predicted by tumor morphologic features on contrast-enhanced computed tomographyDiagnostic and interventional radiology (Ankara, Turkey) · 2023Article
- Accuracy of preoperative clinical staging for locally advanced gastric cancer in KLASS-02 randomized clinical trial.Frontiers in surgery · 2022Article
- Impact of preoperative endoscopy for predicting treatment response and prognosis in patients with gastric cancer after neoadjuvant chemotherapy.Endoscopy international open · 2022Article
- Construction of a nomogram for preoperative prediction of the risk of lymph node metastasis in early gastric cancer.Frontiers in surgery · 2022Article
- Lymph Node Ratio System for N Staging of Gastric Cancer: Challenging for Universal Application But Useful for the Prognostic Prediction of Individual Patients.Journal of gastric cancer · 2021Article
- Diagnostic ability of multi-detector spiral computed tomography for pathological lymph node metastasis of advanced gastric cancer.World journal of gastrointestinal oncology · 2020Article
- The value of multidetector-row computed tomography in lymph node staging of gastric cancer: a preliminary Vietnamese study.Contemporary oncology (Poznan, Poland) · 2020Article
- The impact of histological type on the accuracy of preoperative N staging in patients with gastric cancer.World journal of surgical oncology · 2019Article
- [Multivisceral resection with and without HIPEC in cancer surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Review
- Construction and external validation of a nomogram that predicts lymph node metastasis in early gastric cancer patients using preoperative parameters.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2018Article
- Anthracosilicosis mimicking extensive nodal metastasis from early gastric cancer: A case report.International journal of surgery case reports · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePre-operative lymph node (LN) size is a valuable parameter for determining treatment strategy for gastric cancer. However, a correlation between LN size and metastasis has not been established. MATERIALS AND
methodsThirty-six LN-positive (LNP) and matched 36 LN-negative (LNN) patients were included, and pathology slides of the LNs of these patients were reviewed. All the LNs were measured along the long-axis (LA) and short-axis (SA), manually.
resultsAverage retrieved LNs were 37.3±19.8 and 40.5±11.6 in the LNN and LNP groups, respectively. In total 2,800 LNs, including 136 metastatic LNs (MLNs) and 2,664 non-metastatic LNs (nMLNs), were evaluated. Mean length was significantly more in MLNs along both, the LA and SA (MLN_LA vs. nMLN_LA: 4.97±3.84 vs. 3.37±2.40 mm, MLN_SA vs. nMLN_SA: 3.86±3.19 vs. 2.43±1.59 mm; P<0.001). However, 92.6% (126/136) and 95.6% (130/136) of MLNs were <10 mm along the LA and SA, respectively. In addition, only 22.2% of the LNP group exhibited an MLN as the largest LN.
conclusionsPre-operative multi-detector computed tomography has limited ability in estimating the presence of metastasis in LNs because most MLNs are less than 10 mm, and only a small proportion of the LNP group exhibits an MLN as the largest MLN.
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