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Lymph node metastasis in early gastric cancer with submucosal invasion:Feasibility of minimally invasive surgery

World Journal of Gastroenterology 2004年第24期10卷 3549-3552页

作者： Do-Joong Park Hyeon-Kook Lee Hyuk-Joon Lee Hye-SeungLee Woo-HoKim Han-Kwang Yang Kuhn-UkLee kuk-jinchoe Department of Surgery and Cancer Research Institute Seoul-National University College of MedicineSeoul 110-744Korea Department of Surgery Ewha Woman's University College of MedicineSeoulKorea Department of Pathology Seoul National University College of MedicineSeoulKorea Department of Surgery and Cancer Research Institute Seoul National University College of MedicineSeoul 110-744Korea Department of Surgery Seoul National University College of MedicineSeoulKorea

AIM:To explore the feasibility of performing minimally invasive surgery(MIS) on subsets of submucosal gastric cancers that are unlikely to have regional lymph node ***:A total of 105 patients underwent radical gastrectomy with lymph node dissection for submucosal gastric cancer at our hospital from January 1995 to December 1995,Besides investigating many clinicopathological features such as tumor size,gross appearance,and differentiation,we measured the depth of invasion into submucosa minutely and analyzed the clinicopathologic features of these patients regarding lymph node ***:the rate of lymph node metastasis in cases where the depth of invasion was2000μm was 9% (2/23),19%(7/36),and 33%(15/46),respectively(P4cm vs≤2cm,odds ratio=4。80,P=0.04)and depth of invasion(>2000μm vs ≤500μm,odds ratio=6.81,P=0.02)were significantly correlated with lymph node metastasis,Combining the depth and size in cases where the depth of invasion was less than 500μm,we found that lymph node metastasis occurred where the tumor size was greater than 4 *** cases where the tumor size was less than 2 cm,lymph node metastasis was found only where the depth of tumor invasion was more than 2000μ***:MIS can be applied to submucosal gastric cancer that is less than 2 cm in size and 500μm in depth.

关键词：淋巴结点转移早期胃癌肿瘤粘膜下层入侵可能性低度入侵外科手术 MIS 消化系统

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Clinicopathologic features of surgically resected primary gastric lymphoma

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World Journal of Gastroenterology 2004年第8期10卷 1103-1109页

作者： Seong-HoKong Do-JoongPark Hyuk-JoonLee Han-KwangYang Kuhn-UkLee kuk-jinchoe Min-AKim Hye-SeungLee Chul-WooKim Dae-SeogHeo Chul-Woo Kim Dae-Seog Heo Department of Surgery Seoul National University College of MedicineSeoulKorea Cancer Research Institute Seoul National University College of MedicineSeoulKorea Department of Pathology Seoul National University College of MedicineSeoulKorea Tumor Immunity Medical Research Center and Cancer Research Institute Seoul National University College of MedicineSeoulKorea Department of Internal Medicine Seoul National University College of MedicineSeoulKorea

To analyze the clinicopathologic characteristics ofsurgically resected gastric lymphoma patients.

关键词：原发性胃淋巴瘤临床病理学外科治疗淋巴细胞幽门螺杆菌危险因子

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