RT Journal Article
SR Electronic
T1 Frequency of Lymph Node Metastasis to the Splenic Hilus and Effect of Splenectomy in Proximal Gastric Cancer
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 3347
OP 3351
VO 29
IS 8
A1 SHINSUKE SASADA
A1 MOTOKI NINOMIYA
A1 MASAHIKO NISHIZAKI
A1 MASAO HARANO
A1 YASUTOMO OJIMA
A1 HIROYOSHI MATSUKAWA
A1 HIDEKI AOKI
A1 SHIGEHIRO SHIOZAKI
A1 SATOSHI OHNO
A1 NOROHISA TAKAKURA
YR 2009
UL http://ar.iiarjournals.org/content/29/8/3347.abstract
AB Background: The purpose of this study was to investigate the clinicopathological characteristics and frequency of lymph node metastasis to the splenic hilus in proximal gastric cancer and the effect of splenectomy. Patients and Methods: Three hundred and forty-nine patients undergoing total gastrectomy for primary proximal gastric cancer were included. Among these patients, lymph node metastasis to the splenic hilus was histologically assessed in 201 cases. Results: The incidence of lymph node metastasis to the splenic hilus was 31 cases (15.4%). No lymph node metastasis to the splenic hilus was detected in any T1 and T2 tumors located at the lesser curvature and anterior wall. No significant difference was observed between the survival rates of patients with and without splenectomy in each stage. Conclusion: Our findings indicated that gastrectomy with spleen preservation may be recommended at least in patients with T1 or T2 tumors located at the lesser curvature and anterior wall.