Clinical Significance of Lymph Node Micrometastasis in Gastric Cancer

被引：59

作者：

Arigami, Takaaki ^{[1
]}

Uenosono, Yoshikazu ^{[1
]}

Yanagita, Shigehiro ^{[1
]}

Nakajo, Akihiro ^{[1
]}

Ishigami, Sumiya ^{[1
]}

Okumura, Hiroshi ^{[1
]}

Kijima, Yuko ^{[1
]}

Ueno, Shinichi ^{[1
]}

Natsugoe, Shoji ^{[1
]}

机构：

[1] Kagoshima Univ Grad Sch Med & Dent Sci, Course Adv Therapeut, Field Oncol, Dept Digest Surg Breast & Thyroid Surg, Kagoshima, Japan

来源：

ANNALS OF SURGICAL ONCOLOGY | 2013年 / 20卷 / 02期

关键词：

POLYMERASE CHAIN-REACTION; SENTINEL NODE; PROGNOSTIC-SIGNIFICANCE; TUMOR-CELLS; RT-PCR; METASTASIS; DISSECTION; CARCINOMA; IMPACT; PREDICTION;

D O I：

10.1245/s10434-012-2355-x

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Recently, the existence of lymph node micrometastasis (LNM), including isolated tumor cells, has been focused on during the development of molecular diagnostic tools for lymph node metastasis in various malignant neoplasms. In particular, immunohistochemistry and reverse transcription-polymerase chain reaction have been reported to be available for the detection of LNM in gastric cancer. However, at present, the clinical significance of LNM remains unclear in patients with gastric cancer. Therefore, we cannot strategically make light of this issue in clinical management. Currently, minimally invasive treatments, such as endoscopic submucosal dissection and laparoscopic surgery with personalized lymphadenectomy, are widely performed in consideration of postsurgical quality of life (QOL). However, it is important to maintain the balance between QOL and curability when selecting surgical treatments for patients with gastric cancer. If minimally invasive surgery based on LNM status was established for patients with early gastric cancer, it could be performed safely. We reviewed the clinical significance of LNM as an important strategic target in patients with gastric cancer.

引用

页码：515 / 521

页数：7

共 63 条

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