2,137예 조기위암에서 림프절 전이와 관련된 인자의 분석
Analysis of Clinicopathological Factors Associated with Lymph Node Metastasis in Early Gastric Cancer - Review of 1,137 cases -
대한암학회지 2000년 32권 4호 p.674 ~ 681
곽창신, 이현국, 조삼제, 양한광, 이건욱, 최국진, 김진복,
소속 상세정보
곽창신 ( Kwak Chang-Shin )
서울대학교 의과대학 외과학교실
이현국 ( Lee Hyeon-Kook )
서울대학교 의과대학 외과학교실
조삼제 ( Cho Sam-Je )
서울대학교 의과대학 외과학교실
양한광 ( Yang Han-Kwang )
서울대학교 의과대학 외과학교실
이건욱 ( Lee Kuhn-Uk )
서울대학교 의과대학 외과학교실
최국진 ( Choi Kook-Jin )
서울대학교 의과대학 외과학교실
김진복 ( Kim Jin-Pok )
서울대학교 의과대학 외과학교실
KMID : 0360320000320040674
Abstract
Purpose :The majority of patients with early gastric cancer show long-term survival after surgery. So a special attention must be directed to preserving gastric function in these patients. When node-negative early gastric cancer could be diagnosed preoperatively, then minimally invasive surgery can be performed to ensure a postoperative better quality of life.
Materials and Methods :The pathological records of 2,137 consecutive patients with early gastric cancer who underwent curative operations from January 1986 to December 1998 at Seoul National University Hospital were reviewed.
Results :Lymph node metastases were observed in 285 patients (13.3%). In mucosal carcinoma, lymph node metastases were observed in 50 of 1,108 cases (4.5%), and in submucosal carcinoma, in 234 of 1,026 cases (22.8%). The tumor size, depth of invasion and gross appearance were associated with lymph node metastasis. In mucosal carcinoma, the size and histologic differentiation were associated with lymph node metastasis. In submucosal carcinoma, the size and gross appearance were associated with lymph node metastasis.
Conclusion :In early gastric cancer, the limited surgery can be applied only to cases satisfying the following criteria; (1) mucosal tumor, (2) size 2 ㎝, (3) elevated type or (4) depressed type which are histologically differentiated and (5)size 1 ㎝ among the depressed type histologically undifferentiated.
키워드
Early stomach neoplasm;Lymph node metastasis;Limited surgery;
원문 및 링크아웃 정보
등재저널 정보