Sobrevida alejada de pacientes operados por cáncer gástrico incipiente

Background: Early gastric cancer involves mucosa and submucosa, independent of lymph node involvement. Radical gastrectomy is the standard treatment. Aim: To assess long term survival of patients operated for an early gastric cancer. Material and methods: Retrospective Rev iew of medical and patholo...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Butte,Jean M, Torres,Javiera, Viviani,Paola, Duarte,Ignacio, Crovari,Fernando, Guzmán,Sergio, Cabrera,Roberto, Pedemonte,Juan, Llanos,Osvaldo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2008
Materias:
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100008
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:scielo:S0034-98872008001100008
record_format dspace
spelling oai:scielo:S0034-988720080011000082009-03-23Sobrevida alejada de pacientes operados por cáncer gástrico incipienteButte,Jean MTorres,JavieraViviani,PaolaDuarte,IgnacioCrovari,FernandoGuzmán,SergioCabrera,RobertoPedemonte,JuanLlanos,Osvaldo Fatal outcome Gastrectomy Stomach neoplasms Background: Early gastric cancer involves mucosa and submucosa, independent of lymph node involvement. Radical gastrectomy is the standard treatment. Aim: To assess long term survival of patients operated for an early gastric cancer. Material and methods: Retrospective Rev iew of medical and pathology records of patients subjected to a gastrectomy for an early gastric cancer, between 1975 and 2002. All were treated using a standardized protocol and staged according to 2002 TNM classification of the American Joint Committee of Cáncer (AJCC). Demographic and pathologic features, operation performed and long term survival were recorded. Survival was analyzed using Kaplan-Meier method. Results: The series is comprised by 64 males and 41 females aged 61 + 1 years. Tumor was located in the upper third of the stomach on 33 subjects and a total gastrectomy was performed in 53. Pathology showed an intestinal type adenocarcinoma in 82 and a diffuse type in 23. In patients with involvement of mucosa and submucosa, 24 ± 14 and 22 ± 14 lymph nodes were excised, respectively. Lymph node involvement was present in 8% and 22% of patients with involvement of mucosa and submucosa, respectively. Five years survival was 94% and 78% in patients without and with lymph node involvement, respectively. Survival among patients in stage IA and IB was 94% and 76%, respectively. Multivariate analysis showed that the lymph node involvement was an independent mortality risk factor. Conclusions: Total gastrectomy in patients with early gastric cancer is associated with a good survival. Lymph node involvement is a mortality risk factor.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.11 20082008-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100008es10.4067/S0034-98872008001100008
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Fatal outcome
Gastrectomy
Stomach neoplasms
spellingShingle Fatal outcome
Gastrectomy
Stomach neoplasms
Butte,Jean M
Torres,Javiera
Viviani,Paola
Duarte,Ignacio
Crovari,Fernando
Guzmán,Sergio
Cabrera,Roberto
Pedemonte,Juan
Llanos,Osvaldo
Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
description Background: Early gastric cancer involves mucosa and submucosa, independent of lymph node involvement. Radical gastrectomy is the standard treatment. Aim: To assess long term survival of patients operated for an early gastric cancer. Material and methods: Retrospective Rev iew of medical and pathology records of patients subjected to a gastrectomy for an early gastric cancer, between 1975 and 2002. All were treated using a standardized protocol and staged according to 2002 TNM classification of the American Joint Committee of Cáncer (AJCC). Demographic and pathologic features, operation performed and long term survival were recorded. Survival was analyzed using Kaplan-Meier method. Results: The series is comprised by 64 males and 41 females aged 61 + 1 years. Tumor was located in the upper third of the stomach on 33 subjects and a total gastrectomy was performed in 53. Pathology showed an intestinal type adenocarcinoma in 82 and a diffuse type in 23. In patients with involvement of mucosa and submucosa, 24 ± 14 and 22 ± 14 lymph nodes were excised, respectively. Lymph node involvement was present in 8% and 22% of patients with involvement of mucosa and submucosa, respectively. Five years survival was 94% and 78% in patients without and with lymph node involvement, respectively. Survival among patients in stage IA and IB was 94% and 76%, respectively. Multivariate analysis showed that the lymph node involvement was an independent mortality risk factor. Conclusions: Total gastrectomy in patients with early gastric cancer is associated with a good survival. Lymph node involvement is a mortality risk factor.
author Butte,Jean M
Torres,Javiera
Viviani,Paola
Duarte,Ignacio
Crovari,Fernando
Guzmán,Sergio
Cabrera,Roberto
Pedemonte,Juan
Llanos,Osvaldo
author_facet Butte,Jean M
Torres,Javiera
Viviani,Paola
Duarte,Ignacio
Crovari,Fernando
Guzmán,Sergio
Cabrera,Roberto
Pedemonte,Juan
Llanos,Osvaldo
author_sort Butte,Jean M
title Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
title_short Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
title_full Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
title_fullStr Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
title_full_unstemmed Sobrevida alejada de pacientes operados por cáncer gástrico incipiente
title_sort sobrevida alejada de pacientes operados por cáncer gástrico incipiente
publisher Sociedad Médica de Santiago
publishDate 2008
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100008
work_keys_str_mv AT buttejeanm sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT torresjaviera sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT vivianipaola sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT duarteignacio sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT crovarifernando sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT guzmansergio sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT cabreraroberto sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT pedemontejuan sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
AT llanososvaldo sobrevidaalejadadepacientesoperadosporcancergastricoincipiente
_version_ 1718436412092579840