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Metastatic mode of gastric carcinoma by flow cytometric and clinicopathologic parameters

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Abstract

We used flow cytometric and conventional clinicopathologic parameters to analyse the metastatic mode of cancer in 113 stomach cancer patients. Liver metastasis was frequent in cases with intestinal-type cancer, cancer located in the distal stomach, positive venous invasion and aneuploid cancer. Lung and pleural metastasis (excluding nodular lung metastasis), however, were frequent in cases with serosal invasion and diploid cancer. Peritoneal metastasis was frequently seen with tumors located in the proximal or whole stomach, diffuse-type cancer and cancer with serosal invasion. All cases developing bone metastasis were positive for lymph node metastasis. DNA ploidy was partially related to the metastatic mode of stomach cancer, but this was not the sole parameter for predicting metastasis. However, prediction may be possible if based on both DNA ploidy and clinicopathologic parameters, suggesting the possibility of the prophylaxis of recurrence by appropriate postoperative adjuvant therapy.

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References

  1. Duarte I and Llanos O, 1981, Patterns of metastases in intestinal and diffuse types of carcinoma of the stomach. Human Pathology, 12, 237–242.

    Article  PubMed  CAS  Google Scholar 

  2. Kaibara N, Kimura O, Nishidori H, Makio M, Kawasumi H and Koga S, 1985, High incidence of liver metastasis in gastric cancer with medullary growth pattern. Journal of Surgical Oncology, 28, 195–198.

    Article  PubMed  CAS  Google Scholar 

  3. Nihei Z, Hirayama R, Sakamoto M and Mishima Y, 1989, Histologic features of gastric cancer in relation to patterns of spread. Acta Chirurgica Scandinavica, 155, 43–46.

    PubMed  CAS  Google Scholar 

  4. Rhomberg W and Gruber U, 1989, Liver metastasis in cancer of the stomach and its dependence on the histology of the primary tumor: an autopsy study of 102 cases. Clinical and Experimental Metastasis, 7, 585–590.

    Article  PubMed  CAS  Google Scholar 

  5. Noguchi Y, 1990, Blood vessel invasion in gastric carcinoma. Surgery, 107, 140–148.

    PubMed  CAS  Google Scholar 

  6. Hedley DW, Rugg CA and Gelber RD, 1987, Association of DNA index and S-phase fraction with prognosis of nodes positive early breast cancer. Cancer Research, 47, 4729–4735.

    PubMed  CAS  Google Scholar 

  7. Wyatt JI, Quirke P, Ward DC, Clayden AD, Dixon MF, Johnston D and Bird CC, 1989, Comparison of histopathological and flow cytometric parameters in prediction of prognosis in gastric cancer. Journal of Pathology, 158, 195–201.

    Article  PubMed  CAS  Google Scholar 

  8. Nanus DM, Kelsen DP, Niedzwiecki D, Chapman D, Brennan M, Cheng E and Melamed M, 1989, Flow cytometry as a predictive indicator in patents with operable gastric cancer. Journal of Clinical Oncology, 17, 1105–1112.

    Google Scholar 

  9. Yonemura H, Ooyama S, Sugiyama K, Kamata T, Aretxabala XD, Kimura H, Kosaka T, Yamaguchi A, Miwa K and Miyazaki I, 1990, Retrospective analysis of the prognostic significance of DNA ploidy patterns and S-phase fraction in gastric carcinoma. Cancer Research, 50, 509–514.

    PubMed  CAS  Google Scholar 

  10. Albe X, Vassilakos P, Helfer-Guarnori K, Givel JC, De Quay N, Suardet L, Eliason JF and Odartchenko N, 1990, Independent prognostic value of ploidy in colorectal cancer. A prospective study using image cytometry. Cancer, 66, 1168–1175.

    Article  PubMed  CAS  Google Scholar 

  11. Hedley DW, Friedlander ML, Tailor LW, Rugg CA and Musgrove EA, 1983, Method for analysis of cellular DNA content of paraffin-embedded pathological material using flow cytometry. Journal of Histochemistry and Cytochemistry, 31, 1333–1335.

    PubMed  CAS  Google Scholar 

  12. Lauren P, 1965, The two histological main types of gastric carcinoma: diffuse and so-called intestinaltype carcinoma. Acta Pathologica Microbiologica Scandinavica, 64, 31–49.

    CAS  Google Scholar 

  13. Japanese Research Society for Gastric Cancer, 1981, The general rules for gastric cancer study in surgery and pathology. Japanese Journal of Surgery, 11, 127–139.

    Article  Google Scholar 

  14. Hayashi C, 1952, On the prediction of phenomena from qualitative data and the quantification of qualitative data from the mathematics-statistical point of view. Annals of the Institute of Statistical Mathematics, 3, 69–98.

    Article  Google Scholar 

  15. Taki K and Kuwabara N, 1981, Studies on histogenesis of the gastric carcinoma using minute cancers. Pathology, Research and Practice, 172, 176–190.

    PubMed  CAS  Google Scholar 

  16. Hattori T, 1986, Development of adenocarcinomas in the stomach. Cancer, 57, 1528–1534.

    Article  PubMed  CAS  Google Scholar 

  17. Esaki, Y, Hirayama R and Hirokawa K, 1990, A comparison of patterns of matastasis in gastric cancer by histologic type and age. Cancer, 65, 2086–2090.

    Article  PubMed  CAS  Google Scholar 

  18. Ohya T, Fukunaga J, Kitahara H, Okuyama A, Seki T, Tsurui K, Saka M, Sasagawa M, Hishimuma S and Kotake K, 1990, Clinical evaluation and prob lem of intra-arterial infusion chemotherapy of liver metastasis from digestive organ cancer. Gan To Kagaku Ryoho, 16, 1808–1810. (English Abst.)

    Google Scholar 

  19. Koga S, Hamazoe R, Maeta M, Shimizu N, Murakami A and Wakatsuki T, 1988, Prophylactic therapy for peritoneal recurrence of gastric cancer by continuous hyperthermic peritoneal perfusion with mitomycin C. Cancer, 61, 232–237.

    Article  PubMed  CAS  Google Scholar 

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Umehara, Y., Kimura, T., Yoshida, M. et al. Metastatic mode of gastric carcinoma by flow cytometric and clinicopathologic parameters. Clin Exp Metast 10, 19–24 (1992). https://doi.org/10.1007/BF00163572

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  • DOI: https://doi.org/10.1007/BF00163572

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