Examined lymph node count for gastric cancer patients after curative surgery

Lymph node (LN) metastasis is the most common form of metastasis in gastric cancer (GC). The status and stage of LN metastasis are important indicators that reflect the progress of GC. The number of LN metastases is still the most effective index to evaluate the prognosis of patients in all stages o...

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Published inWorld journal of clinical cases Vol. 11; no. 9; pp. 1930 - 1938
Main Authors Zeng, Yi, Chen, Lu-Chuan, Ye, Zai-Sheng, Deng, Jing-Yu
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 26.03.2023
Subjects
Minireviews
Neoplasm
Stomach
Prognosis
Metastasis
Lymph node
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Summary:Lymph node (LN) metastasis is the most common form of metastasis in gastric cancer (GC). The status and stage of LN metastasis are important indicators that reflect the progress of GC. The number of LN metastases is still the most effective index to evaluate the prognosis of patients in all stages of LN metastasis. Examined LN (ELN) count refers to the number of LNs harvested from specimens by curative gastrectomy for pathological examination. This review summarizes the factors that influence ELN count, including individual and tumor factors, intraoperative dissection factors, postoperative sorting factors, and pathological examination factors. Different ELN counts will lead to prognosis-related stage migration. Fine LN sorting and regional LN sorting are the two most important LN sorting technologies. The most direct and effective way to harvest a large number of LNs is for surgeons to perform fine LN sorting.
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Corresponding author: Jing-Yu Deng, MD, PhD, Chief Doctor, Professor, Department of Gastric Surgery, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Huanhu West Road, Tianjin 300202, China. dengery@126.com
Author contributions: Zeng Y collected the data and wrote the paper; Chen L, Ye Z, and Deng J conceived and reviewed the paper.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v11.i9.1930