Frequency of Lymph Node Metastasis to the Splenic Hilus and Effect of Splenectomy in Proximal Gastric Cancer
Background: The purpose of this study was to investigate the clinicopathological characteristics and frequency of lymph node metastasis to the splenic hilus in proximal gastric cancer and the effect of splenectomy. Patients and Methods: Three hundred and forty-nine patients undergoing total gastrect...
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Published in | Anticancer research Vol. 29; no. 8; pp. 3347 - 3351 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Attiki
International Institute of Anticancer Research
01.08.2009
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Subjects | |
Online Access | Get full text |
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Summary: | Background: The purpose of this study was to investigate the clinicopathological characteristics and frequency of lymph node
metastasis to the splenic hilus in proximal gastric cancer and the effect of splenectomy. Patients and Methods: Three hundred
and forty-nine patients undergoing total gastrectomy for primary proximal gastric cancer were included. Among these patients,
lymph node metastasis to the splenic hilus was histologically assessed in 201 cases. Results: The incidence of lymph node
metastasis to the splenic hilus was 31 cases (15.4%). No lymph node metastasis to the splenic hilus was detected in any T1
and T2 tumors located at the lesser curvature and anterior wall. No significant difference was observed between the survival
rates of patients with and without splenectomy in each stage. Conclusion: Our findings indicated that gastrectomy with spleen
preservation may be recommended at least in patients with T1 or T2 tumors located at the lesser curvature and anterior wall. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0250-7005 1791-7530 |