Relation Between Histology Type and Prognosis of Gastric Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Danjie , CHE Xiangming , LI Haijun , LIAO Xinhua , GAN Jianxin.

Department of General Surgery, The First Affiliated Hospital of Medical College of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China;

Corresponding author：

Keywords：

Gastric cancer; Histology type; Statistics; Prognosis

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ObjectiveTo investigate the relation between histology type and prognosis of gastric cancer.MethodsThe clinical database of 311 patients who underwent surgical resection for gastric cancer in our hospital, between 2000 and 2004, was retrospectively reviewed and analyzed with SPSS 13.0. ResultsLymph node metastasis, tumor invasion depth, and Borrman type of gastric cancer were related with histology type （χ2 test, P lt;0.05）. KaplanMeier survival analysis was used to compare the survival rate and showed that there was a significant difference between highly/moderately differentiated cancers and the poorly differentiated (P lt;0.05), while there was no statistical difference between those patients with same invasion depth （P gt;0.05）. ConclusionThe prognosis of gastric cancers with same invasion depth is same regardless of their histology types.

Citation： ZHANG Danjie,CHE Xiangming,LI Haijun,LIAO Xinhua,GAN Jianxin.. Relation Between Histology Type and Prognosis of Gastric Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(5): 545-548. doi: Copy

1.	Li C, Kim S, Lai JF, et al. Risk factors for lymph node metastasis in undifferentiated early gastric cancer [J]. Ann Surg Oncol, 2008, 15(3): 764769.
2.	Xu YY, Huang BJ, Sun Z, et al. Risk factors for lymph node metastasis and evaluation of reasonable surgery for early gastric cancer [J]. World J Gastroenterol, 2007, 13(38): 51335138.
3.	Yokota T, Ishiyama S, Saito T, et al. Lymph node metastasis as a significant prognostic factor in gastric cancer: a multiple logistic regression analysis [J]. Scand J Gastroenterol, 2004, 39(4): 380384.
4.	Gockel I, Pietzka S, Gnner U, et al. Subtotal or total gastrectomy for gastric cancer: impact of the surgical procedure on morbidity and prognosis—analysis of a 10year experience [J]. Langenbecks Arch Surg, 2005, 390(2): 148155.
5.	Sobin LH, Wittekind CH. International Union Against Cancer(UICC). TNM Classification of Malignant Tumors [M]. 5th ed. NewYork: John Wiley 38 Sons, 2009: 91100.
6.	Siewert JR, Bttcher K, Stein HJ, et al. Relevant prognostic factors in gastric cancer: tenyear results of the German Gastric Cancer Study [J]. Ann Surg, 1998, 228(4): 449461.
7.	Takagane A, Terashima M, Abe K, et al. Evaluation of the ratio of lymph node metastasis as a prognostic factor in patients with gastric cancer [J]. Gastric Cancer, 1999, 2(2): 122128.
8.	Nitti D, Marchet A, Olivieri M, et al. Ratio between metastatic and examined lymph nodes is an independent prognostic factor after D2 resection for gastric cancer: analysis of a large European monoinstitutional experience [J]. Ann Surg Oncol, 2003, 10(9): 10771085.
9.	AlMoundhri MS, AlBahrani B, Burney IA, et al. The prognostic determinants of gastric cancer treatment outcome in Omani Arab patients [J]. Oncology, 2006, 70(2): 9096.
10.	万远廉, 潘义生, 刘玉村, 等. 胃癌淋巴转移规律与淋巴结清扫范围的分析(附326例报告) [J]. 中华外科杂志, 2000, 38(10): 752755.
11.	Di Martino N, Izzo G, Cosenza A, et al. Total gastrectomy for gastric cancer: can the type of lymphadenectomy condition the longterm results? [J]. Suppl Tumori, 2005, 4(3): S84S85.
12.	汪学非，孙益红，梁德基，等. 胃癌根治术D1与D2淋巴结清扫临床疗效和安全性的荟萃分析 [J]. 中华胃肠外科杂志， 2007， 10(5): 425430.
13.	Hejna M, Whrer S, Schmidinger M, et al. Postoperative chemotherapy for gastric cancer [J]. Oncologist, 2006, 11(2): 136145.
14.	田大宇，张松海, 胡祥, 等. 影响早期胃癌预后因素的分析 [J]. 大连医科大学学报, 2010, 5(4): 410412.
15.	陈志新，胡建昆, 于永扬, 等. 近、远端胃癌临床病理特点分析（附428例报告） [J]. 中国普外基础与临床杂志, 2002, 9(3): 151153.
16.	张延龄. 胃癌预后因素的研究近况 [J]. 国外医学外科学分册， 2008， 25(3)：139142.
17.	胡建昆，陈志新，肖凤鸣，等. 应用Cox模型分析胃癌患者切除术后的预后因素 [J]. 中国普外基础与临床杂志, 2001, 8(3): 162163.
18.	詹友庆，孙晓卫，李威，等. 影响根治术后胃癌预后的多因素分析 [J]. 癌症， 2005， 13(5): 596599.
19.	金星林，许东哲，金文昊，等. 胃癌临床病理特征与预后多因素回归分析 [J]. 中国实用外科杂志, 2005, 25(7): 110113.
20.	温先敏，刘德权，段体德, 等. 110例进展期胃癌根治术远期疗效分析 [J]. 中国普外基础与临床杂志, 2003, 10(5): 490492.
21.	解乃昌，林进令. 进展期胃癌临床治疗的现状 [J]. 中国普外基础与临床杂志, 2006, 13(1): 5255.
22.	游朕, 刘彤, 李树亮, 等. 胃癌淋巴结转移的病理因素及各因素间相关性分析 [J]. 天津医科大学学报, 2008, 14(2): 174176.
23.	阚永丰, 李世拥. 胃癌淋巴结转移的临床病理研究 [J]. 中国普外基础与临床杂志, 2005, 12(3): 148150.
24.	蔡世荣，吴晖，何裕隆，等. 不同部位可根治性胃癌病理特征外科处理方式及预后因素比较 [J]. 中国实用外科杂志, 2009, 13(3): 158160.
25.	车向明，王康，帆北修一，等. 进展期胃癌组织学类型与胃癌预后的关系 [J]. 中华普通外科杂志， 2000， 15(6)： 364366.
26.	车向明, 朱研, 贾建洛，等. 中日早期胃癌临床病理及术后生存对比分析 [J]. 西安交通大学学报（医学版）， 2003, 24(4): 382383.

1. Li C, Kim S, Lai JF, et al. Risk factors for lymph node metastasis in undifferentiated early gastric cancer [J]. Ann Surg Oncol, 2008, 15(3): 764769.
2. Xu YY, Huang BJ, Sun Z, et al. Risk factors for lymph node metastasis and evaluation of reasonable surgery for early gastric cancer [J]. World J Gastroenterol, 2007, 13(38): 51335138.
3. Yokota T, Ishiyama S, Saito T, et al. Lymph node metastasis as a significant prognostic factor in gastric cancer: a multiple logistic regression analysis [J]. Scand J Gastroenterol, 2004, 39(4): 380384.
4. Gockel I, Pietzka S, Gnner U, et al. Subtotal or total gastrectomy for gastric cancer: impact of the surgical procedure on morbidity and prognosis—analysis of a 10year experience [J]. Langenbecks Arch Surg, 2005, 390(2): 148155.
5. Sobin LH, Wittekind CH. International Union Against Cancer(UICC). TNM Classification of Malignant Tumors [M]. 5th ed. NewYork: John Wiley 38 Sons, 2009: 91100.
6. Siewert JR, Bttcher K, Stein HJ, et al. Relevant prognostic factors in gastric cancer: tenyear results of the German Gastric Cancer Study [J]. Ann Surg, 1998, 228(4): 449461.
7. Takagane A, Terashima M, Abe K, et al. Evaluation of the ratio of lymph node metastasis as a prognostic factor in patients with gastric cancer [J]. Gastric Cancer, 1999, 2(2): 122128.
8. Nitti D, Marchet A, Olivieri M, et al. Ratio between metastatic and examined lymph nodes is an independent prognostic factor after D2 resection for gastric cancer: analysis of a large European monoinstitutional experience [J]. Ann Surg Oncol, 2003, 10(9): 10771085.
9. AlMoundhri MS, AlBahrani B, Burney IA, et al. The prognostic determinants of gastric cancer treatment outcome in Omani Arab patients [J]. Oncology, 2006, 70(2): 9096.
10. 万远廉, 潘义生, 刘玉村, 等. 胃癌淋巴转移规律与淋巴结清扫范围的分析(附326例报告) [J]. 中华外科杂志, 2000, 38(10): 752755.
11. Di Martino N, Izzo G, Cosenza A, et al. Total gastrectomy for gastric cancer: can the type of lymphadenectomy condition the longterm results? [J]. Suppl Tumori, 2005, 4(3): S84S85.
12. 汪学非，孙益红，梁德基，等. 胃癌根治术D1与D2淋巴结清扫临床疗效和安全性的荟萃分析 [J]. 中华胃肠外科杂志， 2007， 10(5): 425430.
13. Hejna M, Whrer S, Schmidinger M, et al. Postoperative chemotherapy for gastric cancer [J]. Oncologist, 2006, 11(2): 136145.
14. 田大宇，张松海, 胡祥, 等. 影响早期胃癌预后因素的分析 [J]. 大连医科大学学报, 2010, 5(4): 410412.
15. 陈志新，胡建昆, 于永扬, 等. 近、远端胃癌临床病理特点分析（附428例报告） [J]. 中国普外基础与临床杂志, 2002, 9(3): 151153.
16. 张延龄. 胃癌预后因素的研究近况 [J]. 国外医学外科学分册， 2008， 25(3)：139142.
17. 胡建昆，陈志新，肖凤鸣，等. 应用Cox模型分析胃癌患者切除术后的预后因素 [J]. 中国普外基础与临床杂志, 2001, 8(3): 162163.
18. 詹友庆，孙晓卫，李威，等. 影响根治术后胃癌预后的多因素分析 [J]. 癌症， 2005， 13(5): 596599.
19. 金星林，许东哲，金文昊，等. 胃癌临床病理特征与预后多因素回归分析 [J]. 中国实用外科杂志, 2005, 25(7): 110113.
20. 温先敏，刘德权，段体德, 等. 110例进展期胃癌根治术远期疗效分析 [J]. 中国普外基础与临床杂志, 2003, 10(5): 490492.
21. 解乃昌，林进令. 进展期胃癌临床治疗的现状 [J]. 中国普外基础与临床杂志, 2006, 13(1): 5255.
22. 游朕, 刘彤, 李树亮, 等. 胃癌淋巴结转移的病理因素及各因素间相关性分析 [J]. 天津医科大学学报, 2008, 14(2): 174176.
23. 阚永丰, 李世拥. 胃癌淋巴结转移的临床病理研究 [J]. 中国普外基础与临床杂志, 2005, 12(3): 148150.
24. 蔡世荣，吴晖，何裕隆，等. 不同部位可根治性胃癌病理特征外科处理方式及预后因素比较 [J]. 中国实用外科杂志, 2009, 13(3): 158160.
25. 车向明，王康，帆北修一，等. 进展期胃癌组织学类型与胃癌预后的关系 [J]. 中华普通外科杂志， 2000， 15(6)： 364366.
26. 车向明, 朱研, 贾建洛，等. 中日早期胃癌临床病理及术后生存对比分析 [J]. 西安交通大学学报（医学版）， 2003, 24(4): 382383.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Relation Between Histology Type and Prognosis of Gastric Cancer

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