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Prognosis for patients with carcinoma in the middle third of the stomach
Author(s) -
Anai Hideaki,
Maehara Yoshihiko,
Oshiro Tatsuo,
Baba Hideo,
Orita Hiroyuki,
Okuyama Toshiro,
Sugimachi Keizo
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.2930530316
Subject(s) - medicine , stomach , lymph node metastasis , metastasis , multivariate analysis , stomach cancer , lymph node , survival rate , cancer , gastric carcinoma , gastroenterology , surgery , oncology
In 268 of the 1,115 patients (24.0%) with gastric cancer who underwent a curative resection in our clinics, the tumor was located in the middle third of the stomach. The clinicopathological features and prognosis of these patients were divided into two groups, according to site of the tumor: anterior wall (n = 58) vs. other sites (n = 210). Clinicopathological factors did not differ between the two groups. The survival time for patients with a tumor in the anterior group was shorter than that for patients with a tumor in other areas ( P < 0.05). The five‐year survival rate was 79.3% for patients with an anterior tumor and 91.9% for those with a tumor at a different site. A multivariate analysis indicated lymph node metastasis, serosal invasion, and anterior wall location to be independent prognostic factors indicative of a poor prognosis when the tumor was located in the middle third of the stomach. For such patients, close follow‐up is needed to detect possible recurrences. © 1993 Wiley‐Liss, Inc.