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Clinical significance of minimal ascites of indeterminate nature in gastric adenocarcinoma without peritoneal carcinomatosis: long-term follow-up study

Authors
 Lee H ; Hwang HS ; Rhee JC ; Kim JJ ; Rhee PL ; Choi D ; Chang DK 
Citation
 Hepato-Gastroenterology, Vol.58(105) : 137~142, 2011 
Journal Title
 Hepato-Gastroenterology 
ISSN
 0172-6390 
Issue Date
2011
Abstract
BACKGROUNDS/AIMS: CT-defined minimal ascites (CTMA) poses a dilemma in the preoperative staging of gastric cancer in order to select the therapeutic modality or predict outcome. The objective of this study was to investigate the outcomes of patients with gastric cancer accompanied by CTMA of an indeterminate nature on preoperative evaluation. METHODOLOGY: The medical records and dynamic CT scans of patients with gastric cancer and CTMA (<50 mL), who had been examined 10 years earlier, were reviewed retrospectively. The long-term outcomes of these patients were compared with those of patients with gastric cancer of the same stage but without ascites. RESULTS: Surgically confirmed peritoneal carcinomatosis occurred in 28.1% of 32 patients with CTMA. Multivariate regression analysis showed that peritoneal enhancement (RR: 76.41; CI: 9.06-644.58) and distant lymph-node enlargement (RR: 16.63; CI: 3.36-82.53) independently affected overall survival. Patients lacking these signs experienced no recurrence and survived for a 10-year period. In addition, CTMA did not affect the survivals in gastric cancer without confirmed peritoneal metastasis. CONCLUSION: CTMA in gastric cancer does not influence the survival outcomes of gastric cancer without peritoneal carcinomatosis. Preoperative radiologic factors such as peritoneal enhancement and distant lymph node enlargement are important in predicting of CTMA-associated outcome
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94308
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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