Abstract
This study was carried out to define independent prognostic factors influencing survival time and to examine the survival time of patients with advanced gastric cancer treated by curative resection. Six hundred and forty-eight patients were identified of whom 275 patients died of tumor recurrence during follow-up. Univariate analysis using Mantel-Cox analysis, indicated that tumor size, tumor location, gross appearance, degree of gastric wall invasion, lymph node metastasis and operative procedures were significant factors related to survival time (P < 0.01 to P < 0.05). Multivariate analysis using the Cox proportional hazard model adjusted for sex, age and other factors, suggested that tumor size (P < 0.01, relative risk = 1.79), degree of gastric wall invasion (P < 0.01, rr = 1.24) and lymph node metastasis (P < 0.01, rr = 2.39) were the most independent prognostic factors statistically, although these three prognostic factors were inter-related. When the tumor is less than 5 cm and there is no serosal invasion or lymph node metastasis, then a longer survival time can be expected (88.7% at 5-years). If the tumor size exceeds 10 cm and there is invasion into neighboring structures and lymph node metastases, then survival time will be short (11.9% at 4-years).
| Original language | English |
|---|---|
| Pages (from-to) | 287-292 |
| Number of pages | 6 |
| Journal | European Journal of Surgical Oncology |
| Volume | 18 |
| Issue number | 3 |
| Publication status | Published - Jan 1 1992 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Oncology
Cite this
Prediction of survival time after curative surgery for advanced gastric cancer. / Moriguchi, S.; Maehara, Yoshihiko; Korenaga, D.; Sugimachi, K.; Hayashi, Y.; Nose, Y.
In: European Journal of Surgical Oncology, Vol. 18, No. 3, 01.01.1992, p. 287-292.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prediction of survival time after curative surgery for advanced gastric cancer
AU - Moriguchi, S.
AU - Maehara, Yoshihiko
AU - Korenaga, D.
AU - Sugimachi, K.
AU - Hayashi, Y.
AU - Nose, Y.
PY - 1992/1/1
Y1 - 1992/1/1
N2 - This study was carried out to define independent prognostic factors influencing survival time and to examine the survival time of patients with advanced gastric cancer treated by curative resection. Six hundred and forty-eight patients were identified of whom 275 patients died of tumor recurrence during follow-up. Univariate analysis using Mantel-Cox analysis, indicated that tumor size, tumor location, gross appearance, degree of gastric wall invasion, lymph node metastasis and operative procedures were significant factors related to survival time (P < 0.01 to P < 0.05). Multivariate analysis using the Cox proportional hazard model adjusted for sex, age and other factors, suggested that tumor size (P < 0.01, relative risk = 1.79), degree of gastric wall invasion (P < 0.01, rr = 1.24) and lymph node metastasis (P < 0.01, rr = 2.39) were the most independent prognostic factors statistically, although these three prognostic factors were inter-related. When the tumor is less than 5 cm and there is no serosal invasion or lymph node metastasis, then a longer survival time can be expected (88.7% at 5-years). If the tumor size exceeds 10 cm and there is invasion into neighboring structures and lymph node metastases, then survival time will be short (11.9% at 4-years).
AB - This study was carried out to define independent prognostic factors influencing survival time and to examine the survival time of patients with advanced gastric cancer treated by curative resection. Six hundred and forty-eight patients were identified of whom 275 patients died of tumor recurrence during follow-up. Univariate analysis using Mantel-Cox analysis, indicated that tumor size, tumor location, gross appearance, degree of gastric wall invasion, lymph node metastasis and operative procedures were significant factors related to survival time (P < 0.01 to P < 0.05). Multivariate analysis using the Cox proportional hazard model adjusted for sex, age and other factors, suggested that tumor size (P < 0.01, relative risk = 1.79), degree of gastric wall invasion (P < 0.01, rr = 1.24) and lymph node metastasis (P < 0.01, rr = 2.39) were the most independent prognostic factors statistically, although these three prognostic factors were inter-related. When the tumor is less than 5 cm and there is no serosal invasion or lymph node metastasis, then a longer survival time can be expected (88.7% at 5-years). If the tumor size exceeds 10 cm and there is invasion into neighboring structures and lymph node metastases, then survival time will be short (11.9% at 4-years).
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UR - http://www.scopus.com/inward/citedby.url?scp=0026685136&partnerID=8YFLogxK
M3 - Article
C2 - 1607042
AN - SCOPUS:0026685136
VL - 18
SP - 287
EP - 292
JO - European Journal of Surgical Oncology
JF - European Journal of Surgical Oncology
SN - 0748-7983
IS - 3
ER -