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Research ArticleClinical Studies

Prognostic Factors for Gastric Cancer Patients With One Stage IV Factor who Underwent Conversion Surgery

YOTA SHIMODA, HIROHITO FUJIKAWA, KEISUKE KOMORI, HAYATO WATANABE, KAZUKI KANO, TAKANOBU YAMADA, MANABU SHIOZAWA, SOICHIRO MORINAGA, KENJI KATSUMATA, AKIHIKO TSUCHIDA, TAKASHI OGATA and TAKASHI OSHIMA
Anticancer Research February 2021, 41 (2) 1005-1012; DOI: https://doi.org/10.21873/anticanres.14855
YOTA SHIMODA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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HIROHITO FUJIKAWA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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KEISUKE KOMORI
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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HAYATO WATANABE
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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KAZUKI KANO
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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TAKANOBU YAMADA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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MANABU SHIOZAWA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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SOICHIRO MORINAGA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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KENJI KATSUMATA
2Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
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AKIHIKO TSUCHIDA
2Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
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TAKASHI OGATA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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TAKASHI OSHIMA
1Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan;
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  • For correspondence: oshimat@kcch.jp
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Abstract

Background/Aim: To identify prognostic factors for patients with stage IV gastric cancer (GC) and a single stage IV factor before chemotherapy who underwent conversion surgery (R0 resection). Patients and Methods: This study retrospectively analysed 32 GC patients with a single stage IV factor before chemotherapy and who underwent conversion surgery (R0 resection) between January 2001 and September 2015. The univariate and multivariate analyses were performed to identify independent prognostic factors. Results: The five-year survival rate was 39.6%, and the median survival time was 47.0 months. In the univariate analysis, diffuse-type according to Lauren classification was significantly associated with worse overall survival (p<0.001). In the multivariate analysis, diffuse-type was selected as an independent prognostic factor (hazard ratio=15.970, 95% confidence interval=3.804-67.043, p<0.001). Conclusion: Diffuse-type may be a useful prognostic factor in GC patients with a single stage IV factor who undergo conversion surgery (R0 resection).

Key Words:
  • Gastric cancer
  • conversion surgery
  • stage IV factor
  • Received December 12, 2020.
  • Revision received December 29, 2020.
  • Accepted January 5, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (2)
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February 2021
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Prognostic Factors for Gastric Cancer Patients With One Stage IV Factor who Underwent Conversion Surgery
YOTA SHIMODA, HIROHITO FUJIKAWA, KEISUKE KOMORI, HAYATO WATANABE, KAZUKI KANO, TAKANOBU YAMADA, MANABU SHIOZAWA, SOICHIRO MORINAGA, KENJI KATSUMATA, AKIHIKO TSUCHIDA, TAKASHI OGATA, TAKASHI OSHIMA
Anticancer Research Feb 2021, 41 (2) 1005-1012; DOI: 10.21873/anticanres.14855

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Prognostic Factors for Gastric Cancer Patients With One Stage IV Factor who Underwent Conversion Surgery
YOTA SHIMODA, HIROHITO FUJIKAWA, KEISUKE KOMORI, HAYATO WATANABE, KAZUKI KANO, TAKANOBU YAMADA, MANABU SHIOZAWA, SOICHIRO MORINAGA, KENJI KATSUMATA, AKIHIKO TSUCHIDA, TAKASHI OGATA, TAKASHI OSHIMA
Anticancer Research Feb 2021, 41 (2) 1005-1012; DOI: 10.21873/anticanres.14855
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Keywords

  • Gastric cancer
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