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Resection margin in patients with gastric cancer associated with esophageal invasion: Clinicopathological study
Author(s) -
Yokota Takashi,
Sawai Kiyoshi,
Yamaguchi Toshiharu,
Taniguchi Hiroki,
Shimada Shinya,
Yoneyama Chihiro,
Takahashi Toshio
Publication year - 1993
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930530115
Subject(s) - medicine , esophagus , resection margin , stomach , carcinoma , cancer , infiltration (hvac) , esophageal cancer , resection , margin (machine learning) , pathology , gastroenterology , radiology , surgery , physics , machine learning , computer science , thermodynamics
We investigated the correlations between resection margin involvement by carcinoma and a number of clinicopathological features in patients with gastric cancer and esophageal invasion. From January 1968 to December 1988, 1,040 patients with carcinoma of the stomach underwent gastric resection. Thirty‐nine patients had tumor infiltration of the esophagus on histological examination of the resected specimens. The patients were divided into two groups on microscopic examination: those in whom the resection margin was less than 5 mm wide, and those in whom it exceeded 5 mm microscopically. There were 6 and 33 patients in the narrow and wide margin groups, respectively. There were statistically significant differences in tumor size, depth of cancer invasion, and macroscopic appearance between the two groups. The risk of resection margin involvement was high in tumors with the following features: large Borrmann type 4 tumor (macroscopic appearance and size) and infiltrative carcinoma (depth of invasion). © 1993 Wiley‐Liss, Inc.