Results of extended lymph node dissection for gastric cancer cases with N2 lymph node metastasis.

Abstract:

:The therapeutic value of extended lymph node dissection (D2) for gastric cancer remains controversial. Limited lymph node dissection, however, leaves cancer cells in the second tier of nodes (N2) in patients with N2 metastasis. This retrospective study was, therefore, undertaken to clarify which patients would be most likely to benefit from D2 dissection, even with N2 metastasis. Two groups, N2 cases with (n = 40) and without (n = 24) the development of recurrence after curative surgery, were compared. Borrmann type IV and serosal invasion were significantly related to recurrence. The number of metastatic nodes did not differ significantly between the two groups. All (7/7) of the Borrmann type IV cases with N2 metastasis developed recurrence and died. However, one quarter (7/30) of the cases with serosal invasion and N2 metastasis showed no sign of recurrence. D2 dissection is a surgical treatment which offers the potential to cure gastric cancers, other than Borrmann type IV tumor, with N2 metastasis.

journal_name

Int Surg

journal_title

International surgery

authors

Seto Y,Nagawa H,Muto T

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

257-61

issue

3

eissn

0020-8868

issn

2520-2456

journal_volume

82

pub_type

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