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Should direct mesocolon invasion be included in T4 for the staging of gastric cancer?

Authors
 Jung Hoon Park  ;  Woo Jin Hyung  ;  Seung Ho Choi  ;  Sung Hoon Noh 
Citation
 Journal of Surgical Oncology, Vol.101(3) : 205-208, 2010 
Journal Title
 Journal of Surgical Oncology 
ISSN
 0022-4790 
Issue Date
2010
Abstract
BACKGROUND AND OBJECTIVES: One of the sites most frequently invaded by gastric cancer is the mesocolon; however, the UICC does not mention this anatomical site as an adjacent structure involved in gastric cancer. The purpose of this study was to characterize and classify mesocolon invasion from gastric cancer. METHODS: We examined 806 patients who underwent surgery for advanced gastric carcinoma from 1992 to 2007 at the Department of Surgery, Gangnam Severance Hospital, Korea. Among these, patients who showed macroscopically direct invasion into the mesocolon were compared to other patients with advanced gastric cancer. RESULTS: The curability, number and extent of nodal metastasis, and the survival of the mesocolon invasion group were significantly worse than these factors in the T3 group. However, the survival of the mesocolon invasion group after curative resection was much better than that of patients who had incurable factors. CONCLUSIONS: Mesocolon invasion should be included in T4 for the staging of gastric cancer.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jso.21476/abstract
DOI
10.1002/jso.21476
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
노성훈(Noh, Sung Hoon) ORCID logo https://orcid.org/0000-0003-4386-6886
박정훈(Park, Jung Hoon)
최승호(Choi, Seung Ho) ORCID logo https://orcid.org/0000-0002-9872-3594
형우진(Hyung, Woo Jin) ORCID logo https://orcid.org/0000-0002-8593-9214
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101551
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