| 胃中部癌前哨淋巴结邻近、横向和跳跃性转移的临床分析 |
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| 引用本文： | Caigang Liu Jian Wang Ping Lu.胃中部癌前哨淋巴结邻近、横向和跳跃性转移的临床分析[J].中德临床肿瘤学杂志,2007,6(5):444-446. |
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| 作者姓名： | Caigang Liu Jian Wang Ping Lu |
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| 作者单位： | [1]Department of Surgical Oncology, The First Affiliated Hospital of Chinese Medical University, Shenyang 110001, China [2]Department of Heart and Chest Surgery, The 107 Hospital of Chinese People＇s Liberation Army, Yantai 264002, China |
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| 摘 要： | Objective: To investigate the distribution pathway of sentinel lymph nodes (SLN) in middle third gastric carci-noma, as the foundation for rational lymphadenectomy. Methods: 52 cases of middle third tumors with solitary lymph nodes from 1852 gastric carcinomas were selected. The locations and histological types of metastatic lymph nodes were analyzed retrospectively. Results: Of 52 solitary node metastases cases, 37 were limited to perigastric nodes (N1), while 15 with skipping metastasis. In the 35 cases with tumor of lesser curvature, there were 17 cases found lymph nodes of the lesser curvature side (No. 3), 5 cases involved lymph nodes of the greater curvature (No. 4), and 8 cases with lymph nodes of the left gastric artery (No. 7). In the 17 cases with tumor of greater curvature, 7 cases spread to No. 4, while 3 metastasized to lymph nodes of the spleen hilum (No. 10). The difference of the histological types in groups N1 and over N1, were not statistically significant (P > 0.05). Conclusion: Adjacent metastasis formed the primary distribution pattern of SLN in middle third gastric carcinoma, transversal and skipping metastases being also notable.
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| 关 键 词： | 胃中部癌 前哨淋巴结 跳跃性转移 临床分析 |
| 收稿时间： | 5 April 2007 |
| 修稿时间： | 2007-04-05 |
Distribution pattern of solitary lymph node in middle third gastric cancer |
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| Caigang?Liu,Jian?Wang,Ping?Lu,Yang?Lu,Jixian?Shan,Huimian?Xu,Shubao?Wang,Junqing?Chen.Distribution pattern of solitary lymph node in middle third gastric cancer[J].The Chinese-German Journal of Clinical Oncology,2007,6(5):444-446. |
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| Authors: | Caigang Liu Jian Wang Ping Lu Yang Lu Jixian Shan Huimian Xu Shubao Wang Junqing Chen |
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| Institution: | Co-First Author |
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| Abstract: | Objective: To investigate the distribution pathway of sentinel lymph nodes (SLN) in middle third gastric carcinoma, as the foundation for rational lymphadenectomy. Methods: 52 cases of middle third tumors with solitary lymph nodes from 1852 gastric carcinomas were selected. The locations and histological types of metastatic lymph nodes were analyzed retrospectively. Results: Of 52 solitary node metastases cases, 37 were limited to perigastric nodes (N1), while 15 with skipping metastasis. In the 35 cases with tumor of lesser curvature, there were 17 cases found lymph nodes of the lesser curvature side (No. 3), 5 cases involved lymph nodes of the greater curvature (No. 4), and 8 cases with lymph nodes of the left gastric artery (No. 7). In the 17 cases with tumor of greater curvature, 7 cases spread to No. 4, while 3 metastasized to lymph nodes of the spleen hilum (No. 10). The difference of the histological types in groups N1 and over N1, were not statistically significant (P ＞ 0.05). Conclusion: Adjacent metastasis formed the primary distribution pattern of SLN in middle third gastric carcinoma, transversal and skipping metastases being also notable. |
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| Keywords: | gastric cancer lymph node metastasis sentinel lymph node |
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