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Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501.

Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501. Research Abstract Details 

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  • Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501. Abstract Text:

    eiji nomuraEiji Nomura,mitsuru sasakoMitsuru Sasako,seiichiro yamamotoSeiichiro Yamamoto,takeshi sanoTakeshi Sano,toshimasa tsujinakaToshimasa Tsujinaka,taira kinoshitaTaira Kinoshita,hiroshi furukawaHiroshi Furukawa,toshio shimizuToshio Shimizu,masahiro hiratsukaMasahiro Hiratsuka,osamu kobayashiOsamu Kobayashi,yukinori kurokawaYukinori Kurokawa,nobuhiko tanigawaNobuhiko Tanigawa, ,

    BACKGROUND: No risk factor has been confirmed for para-aortic lymph node (PAN) metastasis from gastric cancer. To identify the risk factors and the most frequent route of metastasis to PAN, we analyzed the prospective data from a phase III trial. METHODS: In JCOG9501 comparing D2 and D2 + PAN dissection, 260 patients with T2(SS)-T4 gastric cancer underwent radical gastrectomy with PAN dissection. The association between various clinicopathological factors and PAN metastasis was examined. RESULTS: Macroscopic N stage and tumor size > or = 5 cm were significant risk factors for PAN metastasis after adjusting for other factors. The proportion of PAN metastasis was clearly different between the N0-1 group and the N2-4 group (2.8% versus 20.5%). In the additional multivariate analysis including 17 regional lymph node stations, station No. 7 was the only station with statistical significance (P = 0.002, odds ratio = 41.0). CONCLUSION: Macroscopic N stage and tumor size were associated with PAN metastasis, and the lymphatics along the left gastric artery seemed to be the most frequent route to the nodes surrounding the aorta. These findings may be useful in predicting PAN metastasis.

    Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501. Publishing Authors By Initials

    e nomuraE Nomura,m sasakoM Sasako,s yamamotoS Yamamoto,t sanoT Sano,t tsujinakaT Tsujinaka,t kinoshitaT Kinoshita,h furukawaH Furukawa,t shimizuT Shimizu,m hiratsukaM Hiratsuka,o kobayashiO Kobayashi,y kurokawaY Kurokawa,n tanigawaN Tanigawa, ,

    For similar abstracts research abstracts see: abstracts research

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    Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Japanese journal of clinical oncology

    VOLUME: 37

    Page Numbers: 429-33

    Journal Abbreviation: Jpn. J. Clin. Oncol.

    ISSN: 1465-3621

    DAY: 27

    MONTH: Jun

    YEAR: 2007

    Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501. Information

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    LANGUAGE: eng

    NlmUniqueID: 313225

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    Grant and Affiliation Information for Risk factors for para-aortic lymph node metastasis of gastric cancer from a randomized controlled trial of JCOG9501.

    AFFILIATION: Department of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Osaka, Japan. sur035@poh.osaka-med.ac.jp

    Country: Japan

    Japan Research PublicationJapan Research Publication

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    MEDLINETA: Jpn J Clin Oncol

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