To investigate the relationship between clinicopathological features and lymph node metastasis in the primary gastric cancer and affer the basis for deciding appropriate extent of lymph node dissection, a total of 192 patients who underwent curative gastrectomy and lymph node dissection for gastric cancer were analyzed retrospectively. Result: The total rate of lymph node metastasis was 60.4%, with 28.9% of the resected lymph nodes involved. The lymph node metastasis of C, M, A region and the whole stomach were 64.6%, 57.7%, 59.1% and 90.9% respectively. The rates of the lymph node metastasis increased successively in carcinoma of early, middle and late stages (Ｐ＜0.05), the rate of the infiltrative tumor (Borr Ⅲ，Ⅳ) being 76.5% which was significantly higher than that of the circumscribed tumor (Borr Ⅰ，Ⅱ) (43.2%)。 Relating with the tumor size ＜4cm in diameter showed lesser rate, while 4-8 cm and ＞8cm in diameter showed increasingly higher metastaticrate (Ｐ＜0.01). As a result, we should decide the appropriate extent of lymph node dissection during the operation on the basis of clinicopathological stages, type of Borrmann’s, site and maximum diameter of gastric cancer along with the state of lymph node metastasis in carcinoma of different region of the stomach.
Citation：
Kan Yongfeng,Li Shiyong.. THE CLINICOPATHOLOGICAL STUDY ON LYMPH NODE METASTASIS OF GASTRIC CANCER. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1999, 6(3): 148-150. doi:
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- 1. Kaibara N, Sumi K, Yonekawa M, et al. Does extensive dissection of lymph node improve the results of surgical treatment of gastric cancer? Am J Surg, 1990; 159(2)∶218.
- 2. Jinnai D. Evaluation of extended radical operation for gastric cancer with regard to lymph node metastasis and followup results. Gann Monograph on Cancer Research, 1968; 3(2)∶225.
- 3. Gilbertsen VA. Results of treatment of stomach cancer. An appraisal of efforts for more extensive surgery and a report 1 983 cases. Cancer, 1969; 23(10)∶1305.
- 4. Shiu MH, Morre E, Sandre M, et al. Influence of the gastric carcinoma. Arch Surg, 1987; 122(11)∶1347.
- 5. 林超鸿， 高仁中， 邹杨. 胃癌的淋巴转移. 肿瘤， 1990； 10(5)∶234.
- 6. 余长锌， 夏金声， 石志谦. 胃癌的淋巴转移根治术式. 浙江医学， 1988； 10(4)∶223.
- 7. Aretxabala X, Konishi K, Yonemura Y, et al. Node dissection in gastric cancer. Br J Surg, 1987; 74(9)∶770.
