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Gastric Cancer: Ⅲ期胃癌患者行全胃切除术后淋巴结数目是独立的预后因素

2019-10-21 不详 MedSci原创

胃癌中淋巴结的数量对预后的意义尚存争议。因此,研究人员设计了一个多中心协作数据库来研究根治性切除术后RLN数量与晚期胃癌患者预后之间的相关性。

背景:
癌中淋巴结的数量对预后的意义尚存争议。因此,研究人员设计了一个多中心协作数据库来研究根治性切除术后RLN数量与晚期癌患者预后之间的相关性。

方法:
研究人员回顾性分析了2010年至2014年间接受II / III期胃癌胃切除术的1103例患者的临床数据。手术医师从手术切除的标本中取出了淋巴结,并由病理学家进行了验证。使用接收器工作特性(ROC)曲线分析确定目标人群和最佳临界值。在对脾切除术和辅助化疗这8个变量进行倾向评分匹配后,评估了RLN的预后意义。

结果:
根据ROC曲线分析,预测术后生存的最佳截止评分为40。匹配后,RLN <40和RLN≥40组(每组n= 87)的患者背景变得均衡。RLN <40组的无复发时间和总生存期明显缩短。RLN <40组的腹膜复发发生率显着增加。RLN <40是多变量分析的独立预后因素,但病理N状态并非如此。森林图显示,RLN <40组在大多数亚组中复发的风险更高。

结论:
RLN <40与接受全胃切除的III期胃癌患者不良预后相关。

原始出处:

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

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    2020-05-01 skhzy
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    2020-04-14 许安
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    2019-10-23 sodoo
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    2019-10-23 bshuang

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