Evidence map›Paper›PMID 34321830›Full record

ArticleChinese journal of cancer research = Chung-kuo yen cheng yen chiu2021

Reappraise role of lymph node status in patterns of recurrence following curative resection of gastric adenocarcinoma.

Yihui Tang, Jianxian Lin, Junpeng Lin, Jiabin Wang, Jun Lu, Qiyue Chen, Longlong Cao, Mi Lin, Ruhong Tu, Changming Huang and 3 more

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Article in Chinese journal of cancer research = Chung-kuo yen cheng yen chiu, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Yihui TangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Jianxian LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Junpeng LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Jiabin WangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Jun LuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Qiyue ChenDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Longlong CaoDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Mi LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Ruhong TuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Changming HuangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Ping LiDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Chaohui ZhengDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
Jianwei XieDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the association between lymph node status and recurrence patterns in completely resected gastric adenocarcinoma.

methodsWe retrospectively assessed 1,694 patients who underwent curative gastrectomy from January 2010 to August 2014. Patients stratified according to lymph node status and recurrence patterns among different subgroups were compared.

resultsOf all, 517 (30.5%) patients developed recurrent disease, and complete data of recurrence could be obtained in 493 (95.4%) patients. For pN0 patients, the patterns of recurrence were different according to pT stage: locoregional recurrence was most common in patients with pT1-2 disease (57.1%), distant recurrence was most common in patients with pT3 disease (57.1%), and peritoneal recurrence was most common in patients with pT4a disease (66.7%). For pN+ patients, distant metastasis was most common pattern irrespective of pT stage. The site-specific trend of recurrence showed that locoregional recurrence increased within 5 years in patients with pN0-2 disease but plateaued 3 years after surgery in patients with pN3 disease. Time to recurrence was significantly longer for the pN0 patients compared with the pN+ patients (median: 25

conclusionsAmong clinicopathologic factors, lymph node status is the most important factor associated with recurrence patterns after curative gastrectomy. Lymph node status may be used as an adjunct in clinical decision-making about postoperative therapeutic and follow-up strategies.

Indexed as

gastric cancerlymph node statuspost-recurrence survivalrecurrence-free survivalRecurrence patterns

Identifiers

PMID34321830
PMCPMC8286896

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