Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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The Prognosis of Patients with Stage IV Gastric Carcinoma without Distant Metastasis

원격전이를 동반하지 않은 4기 위암 환자의 예후

  • Lee Jun Ho (Department of Surgery, Yonsei University College of Medicine) ;
  • Noh Sung Hoon (Department of Surgery, Yonsei University College of Medicine) ;
  • Choi Seung Ho (Department of Surgery, Yonsei University College of Medicine) ;
  • Min Jin Sik (Department of Surgery, Yonsei University College of Medicine)
  • 이준호 (연세대학교 의과대학 외과학교실) ;
  • 노성훈 (연세대학교 의과대학 외과학교실) ;
  • 최승호 (연세대학교 의과대학 외과학교실) ;
  • 민진식 (연세대학교 의과대학 외과학교실)
  • Published : 2001.06.01
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Abstract

Purpose: In the UICC staging system, stage IV contains not only those patients with distant metastasis but also patients with far advanced T and N status but without distant metastasis. We investigated the prognostic factors of stage IV gastric carcinoma patients without distant metastasis after curative resection. Materials and Methods: 190 stage IV gastric carcinoma patients without distant metastasis were reviewed after curative resection. Results: Male sex, distal third location, Borrmann type III, IV and histologically undifferentiated type were common. 5 year survival rate of the 190 patients was $22.2\%$. Depth of invasion and lymph node metastasis did not influence survival. The lymph node ratio (positive lymph node / retrieved lymph node) and combined resection affected survival by univariate and multivariate analysis. Conclusion: Combined resection and positive lymph node ratio were the independent prognostic factors in the patients with stage IV gastric carcinoma who underwent curative resection.

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