Risk factors and clinical significances for retropancreatic lymph node metastasis in gastric cancer patients Factores de riesgo y significado clínico de las metástasis en los ganglios linfáticos retropancreáticos en pacientes con cáncer gástrico

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YAVUZ A., GÖBÜT H., DİKMEN K., BOSTANCI H., BÜYÜKKASAP A. Ç., YÜKSEL O.

Cirugia y Cirujanos (English Edition), cilt.91, sa.3, ss.648-657, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 91 Sayı: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.24875/ciru.22000270
  • Dergi Adı: Cirugia y Cirujanos (English Edition)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.648-657
  • Anahtar Kelimeler: Incidence, Retropancreatic lymph node, Risk factors, Survival
  • Gazi Üniversitesi Adresli: Evet

Özet

Background: The incidence of retropancreatic lymph node metastasis in gastric cancer patients is not negligible. Objective: The aim of present study was to determine the risk factors for retropancreatic lymph node (LN) metastasis and to investigate its clinical significance. Patients and Methods: Clinical pathologic data of 237 patients with gastric cancer between June 2012 and June 2017 were analyzed retrospectively. Results: 14 patients (5.9%) had retropancreatic LN metastases. The median survival of patients with and without retropancreatic LN metastasis was 13.1 and 25.7 months. According to univariate analysis; tumor size ≥ 8 cm, Bormann type III/IV, undifferentiated type, presence of angiolymphatic invasion, depth of invasion (pT4), N3 stage, No. 3, No. 7, No. 8, No. 9, and No. 12p LN metastasis was found to be associated with retropancreatic LN metastasis. According to multivariate analysis; tumor size ≥ 8 cm, Bormann type III/IV, undifferentiated type, pT4, N3 stage, No. 9 LN metastasis, and No. 12p LN metastasis were found to be independent prognostic variables for retropancreatic LN metastasis. Conclusion: Retropancreatic LN metastasis is a poor prognostic factor for gastric cancer. Tumor size (≥ 8 cm), Bormann type III/IV, undifferentiated tumor, pT4, N3 stage, and No. 9 and No. 12p LN metastasis are risk factors for metastasis to retropancreatic lymph node.