243 cases of gastric cardia cancer surgery and lymph node metastasis and prognosis analysis


9 cases of> 37 cases of gastric greater curvature> thoracic paraesophageal 28 cases, etc., up 96.8% in this group. 1.2 Results based on the rate of lymph node metastasis, can be seen beside the cardia, lesser curvature, left gastric artery lymph nodes adjacent to three highest frequency. I. according to the three NM is different, all data will be divided into 7 groups (see Table 1). Contrast N0, N,, N2 group, found that survival rate was significantly better than the N0 group Nl and N2 group (P 0 .05). Single site I. Transfer rate was significantly lower than the NM group LNM group of multi-site, single site I. NM group and multi-site I. NM group cumulative survival rate was not statistically significant (P> 0.05). Patients with cardia adenocarcinoma Table l243 lymph node metastasis and survival rate of 2 to discuss cardia adenocarcinoma in the esophagus, stomach junction region, the current method of treatment is still surgical resection is preferred to surgical treatment but has poor 5-year survival rate of 20 percent _lJ, this group was 23.9%. Although standard conventional surgery can cut the net of local primary foci, but some N, and lymph node metastases as revealed poor clearance difficulties. Using enbloe procedure,abercrombie uk, fully and completely lymph node dissection (R, or), the survival rate despite the increase, but as a corresponding increase in operative mortality and complications, and efficacy are not satisfied with _2J. From the group analysis, lymph node metastasis of its long-term survival there was a significant difference. the cardia and lower esophagus, the stomach has a dense lymphatic network, so that the transfer of cardiac infiltration along the mucosa, and hidden away _3]. Once a lymph node metastasis, indicating that cancer cells have spread far and wide hidden. e analysis showed that, Nl and N2,nike free run, and despite differences over the survival rate without statistical significance, a single site I. NM group and multi-site I. NM survival rate between the groups was not statistically significant. Numerous studies show that certain I. NM level, rational lymph node dissection,ralph lauren online shop, and supplemented by other means of treatment, will bring better effect [1]. Current assessment I. NM level, commonly used by parts of sub-station lymph node metastasis program. ere are also many authors hope to find new ways to evaluate I. NM level, Li Jian, using the Cox model for multivariate analysis that the transfer degrees,uggs Günstig, left gastric artery next to the I. NM, lesser curvature next to the I. NM, cardiac side I. NM the greatest impact on prognosis, proposed a single side and single gastric cardia,ralph lauren polo, lesser curvature next to the I. NM group classified as the first station, Author: 310013, Zhejiang Hospital (Heren Liang Mao Weimin Xia Yu) 310 012, Zhejiang Cancer Hospital (Zhou Xingming) next to a single left gastric artery I. NM and adjacent cardia, lesser curvature near the same time I. NM group classified as 2 points, the other side contains the left gastric artery I. NM transfer of multi-site while the third group of stations classified as that of the conventional sub-station standards more in line with standard procedure the actual situation, can measure I. NM level, provide the basis for a reasonable adjustment treatment [. Analysis from this group, according to Lee decile points, the first station in 25 cases, 2 points in 23 cases, the third station 153 cases. By statistical analysis of survival was not significant between stations (P> 0.05). at Lee and other standards of this new sub-station in the clinical application requires further study. In this group, directly to the left gastric artery next to the transfer rate of 4.53% jump station, and other groups reported similar data [2]. e group of single parts of the I. NM fewer cases (36 cases), the line can not be grouped statistical analysis between the groups, the future number of cases increased to a certain number, then a further analysis of a single site I. NM survival rate of change between the groups. e multi-site group I. NM transfer cases accounted for 67.9%, indicating that treatment time later, apparently of cardiac early detection, early diagnosis, early surgical treatment is still the key to improving long-term survival.