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Clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival

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Abstract

Purpose

To demonstrate clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival.

Methods

We retrospectively reviewed 202 advanced gastric cancer patients who underwent noncurative gastrectomy.

Results

The long-term survivors who survived for more than 3 years comprised four of 65 patients with a residual tumor in the peritoneum, one of 50 patients with a residual tumor from lymph node metastasis, three of 41 patients positive for the resected margin (M-factor) and 17 of 153 patients with free intraperitoneal cancer cells (Cy-factor). Multivariate analysis indicated that independent indicators affecting survival were lymph node metastasis and peritoneal metastasis in patients with the Cy-factor and histology in patients with the M-factor.

Conclusions

Long-term survival can only be expected in patients with the Cy-factor who have neither macroscopic peritoneal metastasis nor lymph node metastasis or in patients with the M-factor who have a well-differentiated tumor.

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Authors and Affiliations

  1. Department of Surgery, Division of Surgical Oncology, Tottori University School of Medicine, 36-1 Nishi-cho, Yonago, 683-8504, Japan

    Hiroaki Saito, Yoshinori Yamada, Shunichi Tsujitani & Masahide Ikeguchi

Authors
  1. Hiroaki Saito
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  2. Yoshinori Yamada
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  3. Shunichi Tsujitani
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  4. Masahide Ikeguchi
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Correspondence to Hiroaki Saito.

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Saito, H., Yamada, Y., Tsujitani, S. et al. Clinicopathologic characteristics of gastric cancer patients who underwent noncurative gastrectomy with long-term survival. Langenbecks Arch Surg 394, 99–103 (2009). https://doi.org/10.1007/s00423-008-0398-z

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  • DOI: https://doi.org/10.1007/s00423-008-0398-z

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