Positive lymph node ratio as a prognostic factor for gastric cancer patients: Is it going to supersede positive lymph node number in guidelines? 2023

Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey.

Gastric malignancies constitute the sixth most common cancer with regards to incidence and have the fifth most mortality rates. Extended lymph-node dissection is the surgical modality of choice while treating advanced stage gastric cancer. It is yet a topic of debate, whether or not the amount of positive lymph nodes after a pathological examination following the surgical intervention is of prognostic value. In this study, it is aimed to evaluate the prognostic significance of positive lymph nodes following the surgery. A total of 193 patients who underwent curative gastrectomy between January 2011 and December 2015 have been considered for a retrospective data collection. The cases with R1-R2 resections, palliative or emergent surgeries are excluded. Metastatic to total number of lymph nodes, corresponded a ratio which was analyzed in this survey and practiced as a predictive parameter of disease outcome. This survey includes 138 male (71.5%) and 55 female (28.5%) patients treated between 2011 and 2015 in our clinic. The survey follow-up duration of the cases range between 0, 2, and 72 months, corresponding an average of 23.24 ± 16.99 months. We calculated cutoff value of 0.09 with, sensitivity is 76.32% for positive to total number of lymph nodes ratio, whereas specivity applies for 64.10%, positive predictive value for 58% and negative predictive value for 80.6%. Positive lymph node ratio has a prognostic value in terms of predicting the prognosis of the patients with gastric adenocarcinoma following a curative gastrectomy. This might in long term contribute to the prognostic analysis of patients if integrated in the current staging system.

UI MeSH Term Description Entries
D008197 Lymph Node Excision Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966) Lymph Node Dissection,Lymphadenectomy,Dissection, Lymph Node,Dissections, Lymph Node,Excision, Lymph Node,Excisions, Lymph Node,Lymph Node Dissections,Lymph Node Excisions,Lymphadenectomies,Node Dissection, Lymph,Node Dissections, Lymph
D008198 Lymph Nodes They are oval or bean shaped bodies (1 - 30 mm in diameter) located along the lymphatic system. Lymph Node,Node, Lymph,Nodes, Lymph
D008297 Male Males
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D005260 Female Females
D005743 Gastrectomy Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed) Gastrectomies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000080945 Lymph Node Ratio The ratio of metastatic to total examined LYMPH NODES. Node Ratio, Lymph,Ratio, Lymph Node
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

Related Publications

Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
November 2013, Acta oncologica (Stockholm, Sweden),
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
June 2012, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
February 2005, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
July 2021, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
March 2004, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
January 2015, SpringerPlus,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
January 2009, Hepato-gastroenterology,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
February 2009, Annals of surgical oncology,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
January 2020, Journal of cancer research and therapeutics,
Emir Çapkinoğlu, and Aydin Eray Tufan, and Sinan Ömeroğlu, and Mert Tanal, and Onur Güven, and Uygar Demir
September 2016, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology,
Copied contents to your clipboard!