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KMID : 0914820010010020100
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Journal of the Korean Gastric Cancer Association
2001 Volume.1 No. 2 p.100 ~ p.105
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The Prognosis of Patients with Sgate Ⅳ Gastric Carcinoma without Distant Metastasis
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Lee Jun-Ho
Noh Sung-Hoon
Choi Seung-Ho
Min Jin-Sik
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Abstract
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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.
Materials 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.
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KEYWORD
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Gastric carcinoma, Stage Ⅳ, Prognosis, Curative resection
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