The Prognosis of Patients with Stage IV Gastric Carcinoma without Distant Metastasis.
10.5230/jkgca.2001.1.2.100
- Author:
Jun Ho LEE
1
;
Sung Hoon NOH
;
Seung Ho CHOI
;
Jin Sik MIN
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. sunghoonn@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric carcinoma;
Stage IV;
Prognosis;
Curative resection
- MeSH:
Humans;
Lymph Nodes;
Male;
Multivariate Analysis;
Neoplasm Metastasis*;
Prognosis*;
Survival Rate
- From:Journal of the Korean Gastric Cancer Association
2001;1(2):100-105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In the UICC staging system, stage IV contains not only those patients with distant metastasis but also patients with far advanced T and N status but without distant metastasis. We investigated the prognostic factors of stage IV gastric carcinoma patients without distant metastasis after curative resection. MATENRIALS AND METHODS: 190 stage IV gastric carcinoma patients without distant metastasis were reviewed after curative resection. RESULTS: Male sex, distal third location, Borrmann type III, IV and histologically undifferentiated type were common. 5 year survival rate of the 190 patients was 22.2%. Depth of invasion and lymph node metastasis did not influence survival. The lymph node ratio (positive lymph node / retrieved lymph node) and combined resection affected survival by univariate and multivariate analysis. CONCLUSION: Combined resection and positive lymph node ratio were the independent prognostic factors in the patients with stage IV gastric carcinoma who underwent curative resection.
