Evidence map›Paper›PMID 42180072›Full record

ArticleFrontiers in oncology2026

Regional lymph node metastasis as a risk factor for recurrence in Borrmann type II gastric cancer: particular significance of the no. 7 lymph node.

Hongfa Wei, Weidong Chen, Feiran Zhang, Yifeng Zheng, Changhua Zhang

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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Hongfa Wei *Department of General Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Weidong Chen *Department of General Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Feiran ZhangDepartment of General Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Yifeng ZhengDepartment of General Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Changhua ZhangDepartment of Gastrointestinal Surgery, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Borrmann classification is a well-established system for categorizing gastric cancer (GC). Although Borrmann type II GC is generally associated with favorable outcomes, a subset of patients still experiences recurrence with a poor prognosis. This study identified clinicopathological factors in Borrmann type II GC patients who are surgically targetable, with the aim of guiding gastrointestinal surgeons and improving patient prognosis. Methods: A total of 1,824 patients with GC who underwent radical gastrectomy at the First Affiliated Hospital of Sun Yat-sen University (2007-2019) were retrospectively analyzed, with an additional 197 patients from the First Affiliated Hospital of Shantou University Medical College (2014-2017) used for validation. Results: In the entire cohort, 440 patients (24.1%) were identified as having type II GC. Compared with other types of GC, type II GC is associated with more favorable overall survival. This subtype is characterized by a smaller tumor size and a lower incidence of serosal invasion and lymph node metastasis. Compared with nonrecurrent cases, recurrent cases more commonly involved tumors located in the upper stomach, demonstrated increased lymphatic spread, and were associated with more advanced pTNM staging. Notably, among the second-tier lymph node stations, tumor involvement of the No. 7 lymph nodes emerged as an important risk factor for recurrence. The peritoneum was the most frequent site of recurrence. Conclusions: Although type II GC patients usually have a favorable prognosis, disease recurrence dramatically impairs survival. Notably, the involvement of lymph node station No. 7 was an independent predictor of recurrence, indicating the need for meticulous lymphadenectomy and intensive postoperative surveillance.

Indexed as

Borrmann type IIclinicopathological characteristicsgastric cancerlymph node metastasisrecurrence

Identifiers

PMID42180072
PMCPMC13193983

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