A prediction model for lymph node metastasis in early-stage gastric cancer: Toward tailored lymphadenectomy.

Abstract:

BACKGROUND:The aim of this study was to develop a prediction model for the presence and location of lymph node metastasis (LNM) in early gastric cancer. METHOD:We reviewed medical records of 4 929 patients who underwent radical gastrectomy for early gastric cancer. Variables of age, sex, lymphatic invasion, depth of invasion, location, gross type, differentiation, and tumor size were analyzed. Logistic regression analysis was used to determine independent predictors of LNM at each LN station. RESULT:Overall incidence of LNM was 9.1% (448/4 929 patients). For the presence of LNM, risk factors of age, sex, lymphatic invasion, depth of invasion, anatomical part, gross ulceration, size, and tumor differentiation were significantly associated with LNM. The area under the curve (AUC) for predicting LNM after validation was 0.834 for the test set. For the location of LNM, age, sex, lymphatic invasion, depth of invasion, anatomical part, circumferential portion, gross type, differentiation, and tumor size were significantly associated with LNM. The AUC of each LN station was favorable with the test set. CONCLUSION:Predicting the location of metastatic LNs appeared to be possible in patients with early gastric cancer.

journal_name

J Surg Oncol

authors

Kim SM,Lee H,Min BH,Kim JJ,An JY,Choi MG,Bae JM,Kim S,Sohn TS,Lee JH

doi

10.1002/jso.25628

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

670-675

issue

4

eissn

0022-4790

issn

1096-9098

journal_volume

120

pub_type

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