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Difficulty of predicting the presence of lymph node metastases in patients with clinical early stage gastric cancer: a case control study

机译:临床早期胃癌患者预测淋巴结转移的难度:病例对照研究

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Background The relationship between pathological factors and lymph node metastasis of pathological stage early gastric cancer has been extensively investigated. By contrast, the relationship between preoperative factors and lymph node metastasis of clinical stage early gastric cancer has not been investigated. The present study was to investigate discrepancies between preoperative and postoperative values. Methods From January 2011 to December 2013, 1042 patients with clinical stage early gastric cancer who underwent gastrectomy with lymphadenectomy were enrolled. Preoperative and postoperative values were collected for subsequent analysis. Receiver operating characteristics curves were computed using independent predictive factors. Results Several discrepancies were observed between preoperative and postoperative values, including existence of ulcer, gross type, and histology (all McNemar p -values were Conclusions Surgeons need to be aware of limitations in preoperative predictions of the presence of lymph node metastasis for clinical stage early gastric cancer.
机译:背景技术已经广泛研究了病理因素与早期胃癌病理阶段的淋巴结转移之间的关系。相比之下,尚未研究术前因素与临床早期胃癌淋巴结转移之间的关系。本研究旨在调查术前和术后价值之间的差异。方法回顾性分析2011年1月至2013年12月行胃切除加淋巴结清扫术的1042例临床早期胃癌患者。收集术前和术后值以进行后续分析。使用独立的预测因子来计算接收器的工作特性曲线。结果观察到术前和术后值之间存在一些差异,包括溃疡的存在,肉眼类型和组织学(所有McNemar p值均为结论)结论外科医生需要意识到术前预测临床早期淋巴结转移的存在的局限性胃癌。

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