Gastric cancer: establishing predictors of biologic behavior with use of population-based data.

Abstract:

BACKGROUND:Tumor thickness and nodal status are important predictors of survival following curative resection for gastric cancer. Lymphovascular invasion (LVI) is a potential predictor of biological behavior. The relationship between LVI and tumor thickness (T status) has not been established in population-based studies. METHODS:Clinicopathological and survival data of 577 patients at nine centers, from between 1991 and 1997, was collected from patient records and a Provincial Cancer Registry. The primary endpoint of the study was death. A secondary analysis of a node-negative subgroup examined the significance of LVI with respect to T status. RESULTS:The population disease-specific survival was 28%. In a multivariate analysis, T, N, M, esophageal margin, tumor morphology, and residual tumor category were independent predictors of survival. LVI was documented in 58% of resected tumors. LVI correlated with advancing T and N status but was not significant in a multivariate population model. Subgroup analysis of node-negative gastric cancer found T status and LVI to be independent predictors of survival. LVI was associated with a 5-year survival of 8%, versus 43% among patients in whom it was absent (P <.001). CONCLUSIONS:T status and N status were the most important independent predictors of survival in a population-based study of gastric cancer. LVI correlated with advancing N and T status. Multivariate analysis of node-negative patients showed LVI and T status are independent predictors of survival.

journal_name

Ann Surg Oncol

authors

Dicken BJ,Saunders LD,Jhangri GS,de Gara C,Cass C,Andrews S,Hamilton SM

doi

10.1245/ASO.2004.09.002

keywords:

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

629-35

issue

6

eissn

1068-9265

issn

1534-4681

pii

ASO.2004.09.002

journal_volume

11

pub_type

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