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 (N(1)), 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, 10 were 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.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Liu CG,Lu P,Lu Y,Jin F,Xu HM,Wang SB,Chen JQdoi
10.3748/wjg.v13.i35.4776subject
Has Abstractpub_date
2007-09-21 00:00:00pages
4776-80issue
35eissn
1007-9327issn
2219-2840journal_volume
13pub_type
杂志文章abstract::While debate continues as to which is the best surgical method for the treatment of hemorrhoids, none of the currently available surgical methods approach the ideal surgical option, which is one that is effective while being safe and painless. In reality, the less painful the procedure, the more likely it is to be ass...
journal_title:World journal of gastroenterology
pub_type: 杂志文章,评审
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更新日期:2006-04-28 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 社论,评审
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journal_title:World journal of gastroenterology
pub_type: 社论,评审
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journal_title:World journal of gastroenterology
pub_type: 杂志文章,评审
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journal_title:World journal of gastroenterology
pub_type: 杂志文章,meta分析
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更新日期:2011-03-07 00:00:00
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journal_title:World journal of gastroenterology
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