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Surgical Outcomes and Prognostic Factors of T4 Gastric Cancer Patients without Distant Metastasis

Objective To evaluate surgical outcomes and prognostic factors for T4 gastric cancer treated with curative resection. Methods Between January 1994 and December 2008, 94 patients diagnosed with histological T4 gastric carcinoma and treated with curative resection were recruited. Patient characteristi... Full description

Journal Title: PLoS One Sep 2014, Vol.9(9), p.e107061
Main Author: Ming-Zhe, Li
Other Authors: Deng, Liang , Jing-Jing, Wang , Long-Bin, Xiao , Wen-Hui, Wu , Shi-Bin, Yang , Wen-Feng, Li
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 19326203 ; DOI: 10.1371/journal.pone.0107061
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title: Surgical Outcomes and Prognostic Factors of T4 Gastric Cancer Patients without Distant Metastasis
format: Article
creator:
  • Ming-Zhe, Li
  • Deng, Liang
  • Jing-Jing, Wang
  • Long-Bin, Xiao
  • Wen-Hui, Wu
  • Shi-Bin, Yang
  • Wen-Feng, Li
subjects:
  • China
  • Morbidity
  • Metastasis
  • Cancer
  • Cancer Therapies
  • Mortality
  • Patients
  • Survival
  • Hospitals
  • Complications
  • Multivariate Analysis
  • Surgical Outcomes
  • Metastases
  • Survival
  • Dissection
  • Multivariate Analysis
  • Patients
  • Chemotherapy
  • Multivariate Analysis
  • Medical Prognosis
ispartof: PLoS One, Sep 2014, Vol.9(9), p.e107061
description: Objective To evaluate surgical outcomes and prognostic factors for T4 gastric cancer treated with curative resection. Methods Between January 1994 and December 2008, 94 patients diagnosed with histological T4 gastric carcinoma and treated with curative resection were recruited. Patient characteristics, surgical complications, survival, and prognostic factors were analyzed. Results Postoperative morbidity and mortality were 18.1% and 2.1%, respectively. Multivariate analysis indicated lymph node metastasis (hazard ratio, 2.496; 95% confidence interval, 1.218–5.115; p = 0.012) was independent prognostic factor. Conclusions For patients with T4 gastric cancer, lymph node metastasis was associated with poorer survival. Neoadjuvant chemotherapy or aggressive adjuvant chemotherapy after radical resection was strongly recommended for these patients.
language: eng
source:
identifier: E-ISSN: 19326203 ; DOI: 10.1371/journal.pone.0107061
fulltext: fulltext_linktorsrc
issn:
  • 19326203
  • 1932-6203
url: Link


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titleSurgical Outcomes and Prognostic Factors of T4 Gastric Cancer Patients without Distant Metastasis
creatorMing-Zhe, Li ; Deng, Liang ; Jing-Jing, Wang ; Long-Bin, Xiao ; Wen-Hui, Wu ; Shi-Bin, Yang ; Wen-Feng, Li
ispartofPLoS One, Sep 2014, Vol.9(9), p.e107061
identifierE-ISSN: 19326203 ; DOI: 10.1371/journal.pone.0107061
subjectChina ; Morbidity ; Metastasis ; Cancer ; Cancer Therapies ; Mortality ; Patients ; Survival ; Hospitals ; Complications ; Multivariate Analysis ; Surgical Outcomes ; Metastases ; Survival ; Dissection ; Multivariate Analysis ; Patients ; Chemotherapy ; Multivariate Analysis ; Medical Prognosis
descriptionObjective To evaluate surgical outcomes and prognostic factors for T4 gastric cancer treated with curative resection. Methods Between January 1994 and December 2008, 94 patients diagnosed with histological T4 gastric carcinoma and treated with curative resection were recruited. Patient characteristics, surgical complications, survival, and prognostic factors were analyzed. Results Postoperative morbidity and mortality were 18.1% and 2.1%, respectively. Multivariate analysis indicated lymph node metastasis (hazard ratio, 2.496; 95% confidence interval, 1.218–5.115; p = 0.012) was independent prognostic factor. Conclusions For patients with T4 gastric cancer, lymph node metastasis was associated with poorer survival. Neoadjuvant chemotherapy or aggressive adjuvant chemotherapy after radical resection was strongly recommended for these patients.
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titleSurgical Outcomes and Prognostic Factors of T4 Gastric Cancer Patients without Distant Metastasis
descriptionObjective To evaluate surgical outcomes and prognostic factors for T4 gastric cancer treated with curative resection. Methods Between January 1994 and December 2008, 94 patients diagnosed with histological T4 gastric carcinoma and treated with curative resection were recruited. Patient characteristics, surgical complications, survival, and prognostic factors were analyzed. Results Postoperative morbidity and mortality were 18.1% and 2.1%, respectively. Multivariate analysis indicated lymph node metastasis (hazard ratio, 2.496; 95% confidence interval, 1.218–5.115; p = 0.012) was independent prognostic factor. Conclusions For patients with T4 gastric cancer, lymph node metastasis was associated with poorer survival. Neoadjuvant chemotherapy or aggressive adjuvant chemotherapy after radical resection was strongly recommended for these patients.
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titleSurgical Outcomes and Prognostic Factors of T4 Gastric Cancer Patients without Distant Metastasis
authorMing-Zhe, Li ; Deng, Liang ; Jing-Jing, Wang ; Long-Bin, Xiao ; Wen-Hui, Wu ; Shi-Bin, Yang ; Wen-Feng, Li
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8Hospitals
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10Multivariate Analysis
11Surgical Outcomes
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15Medical Prognosis
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abstractObjective To evaluate surgical outcomes and prognostic factors for T4 gastric cancer treated with curative resection. Methods Between January 1994 and December 2008, 94 patients diagnosed with histological T4 gastric carcinoma and treated with curative resection were recruited. Patient characteristics, surgical complications, survival, and prognostic factors were analyzed. Results Postoperative morbidity and mortality were 18.1% and 2.1%, respectively. Multivariate analysis indicated lymph node metastasis (hazard ratio, 2.496; 95% confidence interval, 1.218–5.115; p = 0.012) was independent prognostic factor. Conclusions For patients with T4 gastric cancer, lymph node metastasis was associated with poorer survival. Neoadjuvant chemotherapy or aggressive adjuvant chemotherapy after radical resection was strongly recommended for these patients.
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