Risk factors in metachronous liver metastasis from gastric cancer.
- Author:
Weijia WANG
1
;
Rupeng ZHANG
;
Hui ZHANG
;
Jingyu DENG
;
Xuejun WANG
;
Qiang XUE
;
Han LIANG
Author Information
- Publication Type:Journal Article
- MeSH: Gastrectomy; Humans; Liver Neoplasms; secondary; therapy; Lymphatic Metastasis; Retrospective Studies; Risk Factors; Stomach Neoplasms; pathology; therapy
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(2):121-123
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinicopathological characteristics and related risk factors in metachronous liver metastasis of gastric cancer.
METHODSClinical data of 115 patients with metachronous liver metastasis in Tianjin Medical University Cancer Institute and Hospital between 1996 and 2008 were analyzed retrospectively.
RESULTSAmong 115 patients, the 1-, 3- and 5-year non-hepatic metastasis rates were 45.3%, 14.8% and 3.5% respectively. Univariate Log-rank test indicated that location, tumor size, tumor differentiation, depth of invasion, lymph node metastasis, vascular invasion, nervous invasion, soft tissue invasion, and modes of gastrectomy were significant factors associated with hepatic metastasis after radical gastrectomy. On multivariate analysis, the size of gastric cancer, vascular invasion, tumor differentiation, and lymph node metastasis were independent factors associated with metachronous liver metastasis of gastric cancer.
CONCLUSIONSThe size of gastric cancer, vascular invasion, tumor differentiation and lymph node metastasis are important factors associated with the risk of hepatic metastasis from gastric cancer in patients after radical gastrectomy.
