Back to Search
Start Over
Radical lymphadenectomy in the management of early gastric cancer
- Source :
- British Journal of Surgery. 83:1421-1423
- Publication Year :
- 1996
- Publisher :
- Oxford University Press (OUP), 1996.
-
Abstract
- Lymph node metastasis in patients with early gastric cancer was evaluated prospectively to determine whether radical (D2) lymphadenectomy is appropriate in such cases. Twenty-eight (18 per cent) of 156 patients having surgery for gastric cancer had early disease. Lymph node metastasis was found in 12 of the 28 patients. Metastasis was more likely in submucosal than mucosal early gastric cancer (nine of 14 versus three of 14; P = 0·024, Fisher's exact test). In two of three patients with metastasis at the N2 level, the N1 nodes were entirely clear. This study shows a higher incidence of lymph node metastasis than has been reported previously in both the UK and Japan. The high incidence of lymph node metastasis in early gastric cancer supports the continuing use of radical lymphadenectomy in patients who are fit for such major surgery.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Adenocarcinoma
Gastroenterology
Metastasis
Gastrectomy
Stomach Neoplasms
Internal medicine
Humans
Medicine
Prospective Studies
Lymph node
Aged
Aged, 80 and over
business.industry
Stomach
Incidence (epidemiology)
Cancer
Middle Aged
medicine.disease
Surgery
Early Gastric Cancer
Exact test
medicine.anatomical_structure
Lymphatic Metastasis
Lymph Node Excision
Female
Lymphadenectomy
business
Subjects
Details
- ISSN :
- 13652168 and 00071323
- Volume :
- 83
- Database :
- OpenAIRE
- Journal :
- British Journal of Surgery
- Accession number :
- edsair.doi.dedup.....ea4a6b4c2f35efd2f6839b5dcd745c52
- Full Text :
- https://doi.org/10.1002/bjs.1800831032