Prognostic Value of Computed Tomography-Detected Extramural Venous Invasion to Predict Disease-Free Survival in Patients With Gastric Cancer

被引：18

作者：

Kim, Tae Un ^{[1
]}

Kim, Suk ^{[2
]}

Lee, Nam Kyung ^{[2
]}

Kim, Hak Jin ^{[2
]}

Han, Ga Jin ^{[2
]}

Lee, Jun Woo ^{[1
]}

Baek, Hyun Jung ^{[1
]}

Jeon, Tae Yong ^{[3
]}

Kim, Hyun Sung ^{[4
]}

Park, Do Yoon ^{[5
]}

机构：

[1] Pusan Natl Univ, Yangsan Hosp, Dept Radiol, Sch Med,Res Inst Convergence Biomed Sci & Technol, Busan, South Korea

[2] Pusan Natl Univ, Sch Med, Pusan Natl Univ Hosp, Biomed Res Inst,Dept Radiol, 305 Gudeok Ro, Busan 602739, South Korea

[3] Pusan Natl Univ, Sch Med, Pusan Natl Univ Hosp, Biomed Res Inst,Dept Surg, Busan, South Korea

[4] Pusan Natl Univ, Res Inst Convergence Biomed Sci & Technol, Yangsan Hosp, Dept Surg,Sch Med, Busan, South Korea

[5] Pusan Natl Univ, Sch Med, Dept Pathol, Pusan Natl Univ Hosp,Biomed Res Inst, Busan, South Korea

来源：

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY | 2017年 / 41卷 / 03期

关键词：

multidetector computed tomography; stomach; extramural venous invasion; recurrence; LYMPH-NODE METASTASIS; VASCULAR INVASION; LYMPHOVASCULAR INVASION; COLORECTAL-CANCER; PERIOPERATIVE CHEMOTHERAPY; CLINICAL-SIGNIFICANCE; CARCINOMA; SURGERY; ADENOCARCINOMA; INTEROBSERVER;

D O I：

10.1097/RCT.0000000000000543

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objective: This study aimed to investigate whether there is a correlation between the computed tomography-detected extramural venous invasion (ctEMVI) and disease-free survival (DFS) in patients with gastric cancer using pathologic lymphovascular invasion as a reference standard. Methods: We retrospectively reviewed 153 patients with gastric cancer who underwent computed tomography during 1 year. Differences in pathological findings between the ctEMVI-positive and ctEMVI-negative groups were analyzed. Disease-free survival was estimated using the Kaplan-Meier method. Factors affecting DFS were analyzed with the Cox proportional hazard model. Results: The ctEMVI-positive group was correlated more with lymphovascular invasion (P = 0.008). The 1- and 2-year DFS rates were 92% and 80%, respectively, in the ctEMVI-negative group, but 77% and 54%, respectively, in the ctEMVI-positive group. A multivariate analysis revealed that tumor size, ctEMVI, and pathological stage remained associated with DFS (Ps = 0.037, 0.015, and 0.002, respectively). Conclusions: The ctEMVI was an independent prognostic factor for worse DFS in patients with gastric cancer.

引用

页码：430 / 436

页数：7

共 42 条

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