점막하 위암에서 림프절 전이에 영향을 미치는 인자
Predictors of Lymph Node Metastasis in Submucosal Gastric Carcinomas
고성주, 서재환, 박흥규, 이훈규, 조승연, 이운기, 이정남, 이영돈, 조현이,
소속 상세정보
고성주 ( Ko Seong-Ju )
가천의과학대학교 길병원 외과학교실
서재환 ( Seo Jae-Hwan )
가천의과학대학교 길병원 외과학교실
박흥규 ( Park Heung-Kyu )
가천의과학대학교 길병원 외과학교실
이훈규 ( Lee Hoon-Gyu )
가천의과학대학교 길병원 외과학교실
조승연 ( Jo Seung-Yun )
가천의과대학교 부속 길병원 외과학교실
이운기 ( Lee Woon-Ki )
가천의과학대학교 길병원 외과학교실
이정남 ( Lee Jeong-Nam )
가천의과학대학교 길병원 일반외과학교실
이영돈 ( Lee Yeong-Don )
가천의과학대학교 길병원 일반외과학교실
조현이 ( Cho Hyun-Yee )
가천의대 길병원 해부병리학과
KMID : 0371320020620020139
Abstract
Purpose: Submucosal gastric carcinomas metastasize to lymph nodes
more often than the intramucosal gastric carcinomas. The objectives of this
study are to clarify the characteristics of submucosal gastric carcinomas,
especially in reference to the status of lymph node metastasis, and to
explore the possibility of a minimally invasive operation. Materials and
Methods: The clinicopathologic features of 88 patients with submucosal
gastric carcinoma, all of whom were treated with a D2+ α
gastrectomy between January 1994 and December 1999, were examined
retrospectively with respect to the status of lymph nodes. The size, depth
of submucosal invasion, histologic differentiation, location, and
macroscopic finding of the tumor were investigated in association with the
presence or the absence of lymph node metastasis. Results: Among the
88 patients, 15 (17.05%) had lymph node metastasis, and the status of
metastasis was significantly correlated with tumor size and depth of
submucosal invasion. The frequency of metastasis was 0% (0/7) of up to 1.0
㎝ and 18.5% (15/81) over 1.0 ㎝ in size (P=0.034) and 6.1% (2/33) of up to
1.0 ㎜ and 23.6% (13/55) over 1.0 ㎜ in depth of submucosal invasion
(P=0.042). Conclusion: The tumor size and depth of submucosal
invasion are useful indicators of lymph node metastasis in submucosal
gastric carcinoma. A minimally invasive operation can be applied for
submucosal gastric carcinoma up to 1.0 ㎝ in size. Further studies are
needed to limited surgery for depth of submucosal invasion.
키워드
점막하암; 림프절 전이; 종양의 크기; 점막하 침윤 깊이; 축소 수술; Submucosal gastric carcinoma; Lymph node metastasis; Tumor size; Depth of submucosal invasion; Minimally invasive operation;
원문 및 링크아웃 정보
등재저널 정보