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Digestive Diseases and Sciences

, Volume 42, Issue 6, pp 1265–1269 | Cite as

Prognostic Indicators for Survival After Curative Resection for Patients with Carcinoma of the Stomach

  • Chew-Wun Wu
  • Mao-Chih Hsieh
  • Su-Shun Lo
  • Shyh-Haw Tsay
  • Anna F.-Y. Li
  • Wing-Yiu Lui
  • Fang-Ku P'Eng
Article

Abstract

This study aims to determine prognosticindicators among patient-, tumor-, and treatmentrelatedfactors of gastric cancer patients. A total of 510patients who underwent curative gastric resection were studied. Univariate analysis of patient-relatedfactors showed a significantly lower survival inpatients with a history of obstruction, hypoalbuminemia,and anemia. Tumor-related factors including gross appearance, location, and size of tumor; depthof cancer invasion; level, number, and frequency oflymph node metastasis; stromal reaction and tumor growthpattern; and histological classification allsignificantly affected survival. Surgical treatment relatedfactors such as total or distal subtotal gastrectomy,extent of lymphadenectomy, and combined resection ofadjacent organ(s) showed a statistically significant adverse influence on survival. Multivariateanalysis identified only four tumor-related factors— number of metastatic lymph nodes, depth ofcancer invasion, stromal reaction, and gross appearanceof the tumor — as independently affectingsurvival. These findings suggest that only fourtumor-related factors were prognostic indicators inpatients with gastric cancer.

PROGNOSIS GASTRIC CANCER GASTRECTOMY SURVIVAL 

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Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Chew-Wun Wu
  • Mao-Chih Hsieh
  • Su-Shun Lo
  • Shyh-Haw Tsay
  • Anna F.-Y. Li
  • Wing-Yiu Lui
  • Fang-Ku P'Eng

There are no affiliations available

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