Evidence map›Paper›PMID 40781666›Full record

ArticleBMC cancer2025

Heterogeneity of metastatic gastric cancer: solitary non-regional lymph node metastasis and solitary lung metastasis showed better survival outcomes than other metastatic patterns.

Xiaoyi Luan, Xue Han, Zerong Wang, Lulu Zhao, Xiaojie Zhang, Wanqing Wang, Penghui Niu, Danjun Wang, Dongbing Zhao, Mingwei Zhu and 1 more

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiaoyi Luan *National Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Xue Han *National Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Zerong Wang *National Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Lulu Zhao *National Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Xiaojie Zhang *National Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Wanqing WangNational Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Penghui NiuNational Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Danjun WangNational Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China.
Dongbing ZhaoNational Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China. dbzhao2003@sina.com.
Mingwei ZhuDepartment of General Surgery, Department of Hepatobiliopancreatic Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China. zhumw2013@163.com.
Yingtai ChenNational Clinical Research Center for Cancer/Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Beijing, 100021, People's Republic of China. yingtaichen@126.com.

Funding

National Key R&D Program of China 2017YFC0908300Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences 2021-RC310-009
6 · The paper itself

Abstract

backgroundAlthough metastatic gastric cancer has remarkably poor prognosis, a small group of patients achieved relatively favorable survival outcomes due to the disease's variable biological behavior. The study aimed to investigate the impact of metastatic patterns on survival outcomes of metastatic gastric cancer patients.

methodsPatients with distant metastatic (M1) gastric cancer in the China National Cancer Center between January 1999 to December 2019 were retrospectively reviewed. Univariate and multivariate cox regression analyses tested the relationship between metastatic patterns and survival.

resultsA total of 2,042 patients with definitive information on metastatic organs were included in the study. Liver (772 [37.9%]), peritoneum (765 [37.6%]), and non-regional lymph node (692 [34.0%]) were the most three common metastasis organs for metastatic gastric cancer patients in our study. The median survival time of patients with metastatic gastric cancer was 15.4 months. For patients with solitary non-regional lymph node metastasis, the 2-year and 5-year overall survival (OS) rates were notably high at 48.12 and 24.55%, respectively. Patients with solitary lung metastasis demonstrated similarly favorable survival outcomes, with 2-year and 5-year OS rates reaching 46.45 and 16.02%. However, patients with multi-organ metastases faced the poorest prognosis among those with metastatic gastric cancer, with 26.98% of them surviving more than 2 years, and only 8.35% surviving more than 5 years. In multivariate cox regression analyses, solitary non-regional lymph node metastasis [multiple organs Ref; hazard ratio (HR) 0.636, 95% CI 0.507-0.798, P < 0.001] and solitary lung metastasis (multiple organs Ref; HR 0.535, 95% CI 0.336-0.852, P = 0.008) were independent beneficial prognostic factors in metastatic gastric cancer patients.

conclusionsGastric cancer patients with solitary non-regional lymph node metastasis and solitary lung metastasis showed better survival outcomes than other metastatic gastric cancer patients. Sub-classifying metastatic gastric cancer based on metastatic organs is recommended, which could assist in forecasting survival outcomes and facilitating individualized treatment.

Indexed as

Lung NeoplasmsLymphatic MetastasisStomach NeoplasmsAdultAgedAged, 80 and overChinaFemaleHumansLymph NodesMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateIndividualized treatmentMetastatic gastric cancerMetastatic patternsPrognosis

Identifiers

PMID40781666
PMCPMC12333190

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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.