Mapping sentinel nodes in patients with early-stage gastric carcinoma

Miwa, K; Taniguchi, Koki; Azisaka, H.; Fujimura, T.; Sahara, Hiroyuki; Kinami, Shinichi; Sato, Tomoi; Nonomura, Akitaka

doi:10.1016/s0016-5085(00)83131-5

Cited by 56 publications

(104 citation statements)

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“…This increases the number of SNs in gastric cancer patients compared with those with breast cancer. There were a large number in the present study; however, the mean number of SNs per patient was almost equal to that in previous reports about SN biopsy for gastric cancer [9,13,20]. We believe that this result was associated with the patency of the local lymphatics.…”

Section: Discussionsupporting

confidence: 47%

Laparoscopy-assisted distal gastrectomy with laparoscopic sentinel lymph node biopsy after endoscopic mucosal resection for early gastric cancer

et al. 2007

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Section: Discussionsupporting

confidence: 47%

Laparoscopy-assisted distal gastrectomy with laparoscopic sentinel lymph node biopsy after endoscopic mucosal resection for early gastric cancer

et al. 2007

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“…Various authors have used both vital dyes (patent blue and indocyanine green) and 99 Tc colloids to identify sentinel nodes [3,5,7,[23][24][25].…”

Section: Discussionmentioning

confidence: 99%

“…In 13% of cases, there is an involvement of second-level N2 lymph nodes without metastases in the N1 lymph nodes (skip metastasis). The dye injected around tumors along the lesser or greater curvature drains into the lymph nodes located on the opposite side of the tumor in about 30% of patients [3,5,27]. Maruyama et al [28] point out that in patients with a single metastasis in one left gastric artery, common hepatic duct, or splenic hilum lymph node, the phenomenon of skip metastasis can actually be caused by the complicated lymphatic flow of the stomach [29].…”

Section: Discussionmentioning

confidence: 99%

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The sentinel node biopsy in early gastric cancer: a preliminary study

Mura¹,

Vagliasindi²,

Framarini³

et al. 2006

Langenbecks Arch Surg

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“…When sufficient information is assessed preoperatively, surgeons can select patients in whom less-invasive surgery should not increase the risk of recurrence. In addition, application of the sentinel node concept might allow more selective lymph node dissection to be carried out in the near future [79,80].…”

Section: Surgical Techniquesmentioning

confidence: 99%

Survival after surgical treatment of early gastric cancer, surgical techniques, and long-term survival

Yuasa

Nimura

2004

Langenbecks Arch Surg

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Early gastric cancer (EGC) is well accepted as having a favorable prognosis after surgical treatment. Difference in treatment strategies for EGC between Japan and western countries indicates a need for current information to be evaluated with regard to long-term survival rates of EGC patients throughout the world. To analyze survival rates and recurrence after resection of EGC, we investigated 51 reports in English that each included more than 50 cases of EGC treated by gastrectomy and had been published during the past 12 years (1992-2003). Prevalence of EGC among all gastric cancers was 45%-51% in Japan, but only 7%-28% in western countries. Mean age at diagnosis was less than 60 years in Japan and Korea, but was more than 60 in most of the Western countries. Actuarial and disease-specific 5-year survival rates for EGC were 72%-95.8% and 88%-98.3%, respectively. Those for EGC that were invading the submucosal layer were 71.6%-94.1% and 82%-96.6%, respectively. Those for EGC with lymph node metastasis were 57%-89.1% and 72%-93.5%, respectively. Prevalence of recurrence ranged from 1.0% to 13.8%. Larger clinical series with more EGC cases showed a lower prevalence of recurrence (P=0.531, P=0.0026). Liver and blood-borne distant metastasis represented the predominant pattern of relapse, accounting for over half (54%). Local recurrence and peritoneal dissemination represented 20% and 18% of all recurrences, respectively. Clinicopathological studies have shown lymph node metastasis to be closely related to depth of invasion, size of lesion, histological type, presence of ulcer or ulcer scar, and vessel involvement. Information on these factors is the key to successful treatment of EGC. When sufficient information has been assessed preoperatively, surgeons can select patients for whom less-invasive surgery should not increase the risk of recurrence.

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Mapping sentinel nodes in patients with early-stage gastric carcinoma

Cited by 56 publications

References 0 publications

Laparoscopy-assisted distal gastrectomy with laparoscopic sentinel lymph node biopsy after endoscopic mucosal resection for early gastric cancer

Laparoscopy-assisted distal gastrectomy with laparoscopic sentinel lymph node biopsy after endoscopic mucosal resection for early gastric cancer

The sentinel node biopsy in early gastric cancer: a preliminary study

Survival after surgical treatment of early gastric cancer, surgical techniques, and long-term survival

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