Evidence map›Paper›PMID 30792857›Full record

ArticleAnnals of medicine and surgery (2012)2019

A single-institution retrospective analysis of gastric carcinoma with positive peritoneal lavage cytology and without serosal invasion: A case series.

Taizo Sakata, Takaomi Takahata, Toshikazu Kimura, Isao Yasuhara, Toru Kojima, Yoshihiro Akazai, Tetsushige Mimura, Alan Kawarai Lefor

Abstract read
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Article in Annals of medicine and surgery (2012), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Taizo SakataDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Takaomi TakahataDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Toshikazu KimuraDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Isao YasuharaDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Toru KojimaDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Yoshihiro AkazaiDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Tetsushige MimuraDepartment of Surgery, Okayama Saiseikai General Hospital, Okayama, Japan.
Alan Kawarai LeforDepartment of Surgery, Jichi Medical University, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPeritoneal dissemination of gastric cancer is often associated with serosal infiltration. The aim of this study was to evaluate the clinical importance of peritoneal lavage cytology in patients with gastric carcinoma without serosal invasion. The incidence and impact on prognosis of positive cytology were analyzed.

methodsOf 2768 patients with gastric cancer, outcomes and pathological characteristics of 973 patients were reviewed retrospectively. All patients underwent peritoneal lavage at laparotomy for curative or palliative resection of gastric cancer between 1999 and 2017. Among these, 479 who underwent surgery from January 1999 to March 2012 were also reviewed to analyze 5-year survival.

resultsOf 973 patients enrolled, 338 (35%) did not have serosal invasion, and peritoneal cytology was positive in 4/338 (1.2%). Of these four patients, one had submucosal invasion and three had muscularis propria invasion. Of 635 patients with serosal invasion, peritoneal cytology was positive in 74/635 (12%). Of 479 patients reviewed for survival, cytology was positive in 32/479, with 3/32 (9%) surviving for five years, and cytology was negative in 447 patients with 266/447 (60%) surviving for five years.

conclusionsCytologic evaluation should be routinely performed in patients with early-stage gastric cancer.

Indexed as

Gastric carcinomaPeritoneal cytologyPrognosisSerosal invasion

Identifiers

PMID30792857
PMCPMC6370578

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