| Distribution of solitary lymph nodes in primary gastric cancer： A retrospective study and clinical implications |
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| 引用本文： | Liu CG,Lu P,Lu Y,Jin F,Xu HM,Wang SB,Chen JQ. Distribution of solitary lymph nodes in primary gastric cancer： A retrospective study and clinical implications[J]. World journal of gastroenterology : WJG, 2007, 13(35): 4776-4780. DOI: 10.3748/wjg.v13.i35.4776 |
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| 作者姓名： | Liu CG Lu P Lu Y Jin F Xu HM Wang SB Chen JQ |
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| 作者单位： | Cai-Gang Liu（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Ping Lu（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Yang Lu（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Feng Jin（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Hui-Mian Xu（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Shu-Bao Wang（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ;Jun-Qing Chen（Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China） ; |
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| 基金项目： | Supported in part by the Gastric Cancer Laboratory of Chinese Medical University |
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| 摘 要： |
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| 关 键 词： | 胃癌 淋巴结切除术 淋巴结 治疗 |
| 收稿时间： | 2007-04-27 |
Distribution of solitary lymph nodes in primary gastric cancer: a retrospective study and clinical implications |
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| Liu Cai-Gang,Lu Ping,Lu Yang,Jin Feng,Xu Hui-Mian,Wang Shu-Bao,Chen Jun-Qing. Distribution of solitary lymph nodes in primary gastric cancer: a retrospective study and clinical implications[J]. World journal of gastroenterology : WJG, 2007, 13(35): 4776-4780. DOI: 10.3748/wjg.v13.i35.4776 |
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| Authors: | Liu Cai-Gang Lu Ping Lu Yang Jin Feng Xu Hui-Mian Wang Shu-Bao Chen Jun-Qing |
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| Affiliation: | Department of Surgical Oncology, First Affiliated Hospital of China Medial University, Heping, Shenyangl 10001, Liaoning Province, China |
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| Abstract: | AIM To investigate the distribution pathway of metastatic lymph nodes in gastric carcinoma as a foundation for rational lymphadenectomy.METHODS We investigated 173 cases with solitary or single station metastatic lymph nodes (LN) from among 2476 gastric carcinoma patients. The location of metastatic LN, histological type and growth patterns were analyzed retrospectively.RESULTS Of 88 solitary node metastases cases, 65 were limited to perigastric nodes (N1), while 23 showed skipping metastasis. Among 8 tumors in the upper third stomach, 3 involved right paracardial LN (station number No.1), and one in the greater curvature was found in No.1. In the 28 middle third stomach tumors, 10were found in LN of the lesser curvature (No.3) and 6 in LN of the left gastric artery (No.7); 5 of the 20 cases on the lesser curvature spread to No.7, while 2 of the 8 on the greater curvature metastasized to LN of the spleen hilum (No.10). Of 52 lower third stomach tumors, 13 involved in No.3 and 19 were detected in inferior pyloric LN (No.6); 9 of the 29 cases along the lesser curvature were involved in No.6.CONCLUSION Transversal and skipping metastases of sentinel lymph nodes (SLN) are notable, and rational lymphadenectomy should, therefore, be performed. |
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| Keywords: | Gastric cancer Metastatic lymph node,Lymph node dissection Rational lymphadenectomy Sentinel lymph node |
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