ArticleWorld journal of gastrointestinal oncology2025
Metastatic lymph node distribution and pathology correlations in upper and lower gastric cancer patients: A multicenter retrospective study.
Article in World journal of gastrointestinal oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Prognostic significance of the Borrmann classification in stage 2-3 gastric cancer.Saudi medical journal · 2025Article
- Importance of the pattern of lymph node metastasis in upper and lower gastric cancer.World journal of gastrointestinal oncology · 2025Article
- Understanding metastatic patterns in gastric cancer: Insights from lymph node distribution and pathology.World journal of gastrointestinal oncology · 2025Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundGastric cancer (GC) poses a significant threat to public health. However, the clinicopathological features and tumor biological behaviors vary among the GC patients, leading to individual variations in lymph node metastasis. Consequently, the stratification of lymph node dissection according to the specific type, particularly upper GC, has emerged as a prominent area of research.
aimTo investigate the distribution of metastatic lymph nodes in patients with upper and lower GC and to analyze the differences in related pathological elements and prognosis.
methodsDifferential analysis between upper and lower GC patients with various clinicopathological factors was performed using the chi-square test and rank-sum test. Logistic regression models were used to identify risk factors for GC lymph node metastasis, while Cox regression models were used to analyze risk factors affecting patient prognosis. The Kaplan-Meier method was used to construct survival curves associated with prognostic risk factors for GC.
resultsSignificant differences were observed between the two GC populations regarding tumor diameter, histological grade, pT stage, pN stage, tumor-node-metastasis (pTNM) stage, vascular invasion, and adjuvant chemotherapy usage (all
conclusionUpper GC showed a significantly higher malignancy grade and different lymph node metastasis pattern than lower GC.
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