Prognosis of proximal upper-third gastric cancer excluding tumors originating in the esophagogastric junction

Lee, Joong Ho; Hong, Yeon Sik; Choi, Yoon Jung; Lim, Hyunsun; Lee, Sang Hoon

doi:10.14216/kjco.19017

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…Tan et al, Zhao et al, and Lee at al. indicated that the location in the upper third part of the stomach was not an independent prognostic factor of poor survival (6,25,26). In this study, the most common location was the upper third part of the stomach (31.9%).…”

Section: Clinicopathological Featuresmentioning

confidence: 52%

“…As we all know, early stages (according to TNM classification) have an influence on better prognosis after gastric cancer resection (6,7,10,25,26,30). Although in studies from the Netherlands and France where stage IV remained stable over the last few years, the staging of TNM of gastric cancer at diagnosis significantly decreased over the last decades (38,(43)(44)(45)(46)(47).…”

Section: Clinicopathological Featuresmentioning

confidence: 99%

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Analysis of Prognostic Factors Affecting Short-term and Long-term Outcomes of Gastric Cancer Resection

et al. 2021

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Background: The aim of this study was the analysis of the influence of prognostic factors on short-and long-term outcomes of gastric cancer resection. Patients and Methods: A database of 709 patients who had gastric cancer resection between 2007 and 2015 was compiled. Results: Total gastrectomy (TG) and subtotal proximal gastrectomy (SPG) significantly increased the risk of overall complications (p=0.0015 and 0.0173, respectively) and surgical complications (p=0.0141 and 0.0035, respectively). Moreover the resection of an additional organ was an independent prognostic factor of overall complications (p<0.0001), systemic complications (p=0.0503), surgical complications (p<0.0001) and relaparotomy (p=0.0259). T stage (p<0.0001), N stage (p<0.0001), M stage (p<0.0001) and radical resection (p<0.0001) significantly affected 5year survival rates. Conclusion: Early diagnosis and radical resection was crucial in 5-year survival rates. However, the type of gastrectomy and the resection of an additional organ were the most important factors in short-term outcomes of treatment for such patients.Gastric cancer is the second most common cancer of the gastrointestinal tract in the world. In 2020, the incidence of new cases of gastric cancer was estimated at 1,089,103, with a mortality rate of 768,793 people globally. Unlike East Asia, gastric cancer is a relatively rare neoplasm in North America and some highly developed countries in Western Europe. However, even there it is one of the most common causes of death from malignant neoplasms (1). In Poland, the number of deaths from gastric cancer reaches 5000 per year. In 2018, 3155 men and 1745 women died from this in our country (2).Currently, the majority of publications concern aspects of multimodal therapy with pre-and perioperative chemotherapy, even in the presence of oligometastasis. Nevertheless, surgical resection is still the most effective treatment for such patients, and the principles of surgery of gastric cancer are usually well established (3)(4)(5).Although data from a large number of articles reveals the impact of prognostic factors on the prognosis of patients with gastric cancer resection, survival is significantly improved by the effectiveness of surgical treatment measured by short-term outcomes. Most reports involving prognostic factors for patients after gastric cancer resection focus on the 5-year survival rate. There are no in detail articles on the influence of prognostic factors on short-term outcomes of treatment such as overall complications, systemic complications, surgical complications, relaparotomy and perioperative mortality (6-30). There are many prognostic factors that could affect the short-term outcomes of gastric cancer resection including gender, age, location, histologic type, tumour staging, type of gastrectomy, number of retrieved lymph nodes or resection of an additional organ.In this study we carried out univariate and multivariate analysis of prognostic factors which, in addition to long-term outcomes (5-year survival), also affecte...

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Section: Clinicopathological Featuresmentioning

confidence: 52%

Section: Clinicopathological Featuresmentioning

confidence: 99%

Analysis of Prognostic Factors Affecting Short-term and Long-term Outcomes of Gastric Cancer Resection

et al. 2021

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“…According to some studies in patients with gastric cancer, tumor location is not an independent prognostic factor significantly affecting survival (9,23,(34)(35)(36)(37). ZeLong et al reported that tumor location within the stomach does not affect the lymph node metastases and overall survival for resectable gastric cancer (36).…”

Section: Discussionmentioning

confidence: 99%

“…Generally, the diagnostics and treatment of early tumor stages according to TNM classification plays a crucial role in the survival of patients with gastric cancer (7,9,12,30,34,35,40,49).…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological Prognostic Factors Determining Outcomes of Treatment in Gastric Cancer Surgery

Kulig

Pach

Majewska

et al. 2022

In Vivo

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Background/Aim: The purpose of this study was to examine the impact of clinicopathological prognostic factors on tumor resectability, perioperative complications, and 5year survival rates in patients with gastric cancer treated surgically. Patients and Methods: A cohort of 834 patients operated on for gastric cancer between 2007 and 2016 was analyzed. Results: Patients over 70 years of age manifested a significantly higher rate of overall complications, systemic complications, surgical complications, perioperative mortality, and a worse 5-year survival. The diffuse type according to the Lauren classification was an independent prognostic factor for perioperative mortality. TNM stage significantly influenced resectability and 5-year survival rates. Furthermore, the presence of distant metastases (M1 stage) significantly increased the rates of overall complications, systemic complications, and perioperative mortality. Conclusion: Although TNM stage was the most important prognostic factor for resectability, perioperative complications and 5-year survival, other clinicopathological prognostic factors, such as age, and Lauren type also significantly affected treatment outcomes in gastric cancer surgery.

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Comparison of the Prognosis of Upper-Third Gastric Cancer With That of Middle and Lower-Third Gastric Cancer

Park,

Kim,

Yang

et al. 2024

J Gastric Cancer

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Prognosis of proximal upper-third gastric cancer excluding tumors originating in the esophagogastric junction

Cited by 3 publications

References 15 publications

Analysis of Prognostic Factors Affecting Short-term and Long-term Outcomes of Gastric Cancer Resection

Analysis of Prognostic Factors Affecting Short-term and Long-term Outcomes of Gastric Cancer Resection

Clinicopathological Prognostic Factors Determining Outcomes of Treatment in Gastric Cancer Surgery

Comparison of the Prognosis of Upper-Third Gastric Cancer With That of Middle and Lower-Third Gastric Cancer

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