PREOPERATIVE ASSESSMENT OF LYMPH-NODE METASTASES IN PATIENTS WITH GASTRIC-CANCER - EVALUATION OF THE MARUYAMA COMPUTER-PROGRAM

被引:87
作者
BOLLSCHWEILER, E [1 ]
BOETTCHER, K [1 ]
HOELSCHER, AH [1 ]
SASAKO, M [1 ]
KINOSHITA, T [1 ]
MARUYAMA, K [1 ]
SIEWERT, JR [1 ]
机构
[1] NATL CANC CTR,TOKYO 104,JAPAN
关键词
D O I
10.1002/bjs.1800790221
中图分类号
R61 [外科手术学];
学科分类号
摘要
The probability of survival of patients with gastric cancer depends upon depth of wall penetration by the primary tumour and metastatic lymph node burden. Radical lymphadenectomy may lead to prolonged survival but with increased morbidity. A computer program from Maruyama, National Cancer Centre, Tokyo enables evaluation of individual survival time and infiltration of lymph nodes. This analysis was applied to a German population. Computer-aided predictions were determined retrospectively using the prognostic factors of sex, age, Borrmann classification, histology, depth of wall penetration, location and diameter of the tumour. Data were collected from 222 patients at the Technical University of Munich (median age 66 years, sex ratio (M:F) 2:1), who had been operated on (72 per cent total gastrectomy, 28 per cent subtotal gastrectomy) for gastric cancer. The predicted results were compared with the postoperative pathological findings. The prediction of node metastases was highly accurate (lymph nodes 13-16, 96 per cent; 7-12, 89 per cent; 1-6, 82 per cent). These computer predictions may provide perioperative information of therapeutic value.
引用
收藏
页码:156 / 160
页数:5
相关论文
共 27 条
[1]  
Borrmann R., 1986, HDB SPEZIELLEN PATHO, VVol. IV/I, P812, DOI [10.1007/978-3-7091-5436-6_7, DOI 10.1007/978-3-7091-5436-6_7]
[2]   EARLY AND LATE RESULTS OF EXTENDED SURGERY FOR CANCER OF THE STOMACH [J].
BOZZETTI, F ;
REGALIA, E ;
BONFANTI, G ;
DOCI, R ;
BALLARINI, D ;
GENNARI, L .
BRITISH JOURNAL OF SURGERY, 1990, 77 (01) :53-56
[3]   RANDOMIZED COMPARISON OF R1 AND R2-GASTRECTOMY FOR GASTRIC-CARCINOMA [J].
DENT, DM ;
MADDEN, MV ;
PRICE, SK .
BRITISH JOURNAL OF SURGERY, 1988, 75 (02) :110-112
[4]  
DITTLER HJ, 1991, ENDOSKOPIE HEUTE, V1, P18
[5]  
HERMANEK P, 1987, TNM CLASSIFICATION M, P98
[6]   LOCAL ADVANCED-CARCINOMA OF THE CARDIA - IS RESECTION WORTH WHILE [J].
HOLSCHER, AH ;
SCHULER, M ;
THORBAN, S ;
BOLLSCHWEILER, E ;
SIEWERT, JR .
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1989, 114 (26) :1021-1026
[7]   DOES EXTENSIVE DISSECTION OF LYMPH-NODES IMPROVE THE RESULTS OF SURGICAL-TREATMENT OF GASTRIC-CANCER [J].
KAIBARA, N ;
SUMI, K ;
YONEKAWA, M ;
OHTA, M ;
MAKINO, M ;
KIMURA, O ;
NISHIDOI, H ;
KOGA, S .
AMERICAN JOURNAL OF SURGERY, 1990, 159 (02) :218-221
[8]  
Kaibara N, 1989, Nihon Geka Gakkai Zasshi, V90, P1418
[9]   COMPUTER-ANALYSIS IN MAKING PREOPERATIVE DECISIONS - A RATIONAL APPROACH TO LYMPH-NODE DISSECTION IN GASTRIC-CANCER PATIENTS [J].
KAMPSCHOER, GHM ;
MARUYAMA, K ;
VANDEVELDE, CJH ;
SASAKO, M ;
KINOSHITA, T ;
OKABAYASHI, K .
BRITISH JOURNAL OF SURGERY, 1989, 76 (09) :905-908
[10]  
KODOMA Y, 1981, WORLD J SURG, V5, P241