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Cross-Sectional Location of Gastric Cancer Affects the Long-Term Survival of Patients as Tumor Invasion Deepens
- Source :
- Annals of Surgical Oncology. 24:3947-3953
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- The prognosis of gastric cancer is generally determined by tumor depth and lymph node metastasis, while the effect of cross-sectional tumor location on prognosis remains unclear. This study recruited patients who had been diagnosed with gastric cancer and who underwent gastrectomy from 1989 to 2012. The cross-sectional locations of the gastric cancers were classified into four regions: the lesser (LC) and greater curvatures (GC), and anterior (AW) and posterior walls (PW). Overall, 4820 patients were enrolled in this study. The most common site of gastric cancer among the four cross-sectional locations was the LC (46.4%), while the proportions of PW (19.9%), AW (18.4%), and GC (15.4%) were similar. Overall survival differed statistically (p = 0.013) according to the cross-sectional location, and the 5-year overall survival of those with tumors with a GC location was significantly worse (p = 0.003) than for the other three locations. In subgroup multivariate analysis, GC location was an independent prognostic indicator for a worse clinical outcome at T stage 3–4b (hazard ratio 1.365, 95% confidence interval 1.150–1.620, p
- Subjects :
- Male
Oncology
medicine.medical_specialty
medicine.medical_treatment
Adenocarcinoma
03 medical and health sciences
0302 clinical medicine
Gastrectomy
Stomach Neoplasms
Surgical oncology
Internal medicine
medicine
Humans
Neoplasm Invasiveness
Stage (cooking)
Survival rate
Retrospective Studies
business.industry
Hazard ratio
Cancer
Retrospective cohort study
Prognosis
medicine.disease
Confidence interval
Survival Rate
Cross-Sectional Studies
Lymphatic Metastasis
030220 oncology & carcinogenesis
Lymph Node Excision
Female
030211 gastroenterology & hepatology
Surgery
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15344681 and 10689265
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Annals of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....e3f972f0197c5c6c7d2587b85018ab88