Haraguchi et al reported prognostic factors for patients with a resectable gastric cancer. These can help to identify a patient who may require more aggressive management. The authors are from Kagoshima University.
Patient selection: resectable gastric cancer
Tumor Depth Invasion
Tumor Size in mm
Primary Tumor Score
pT1
< 45 mm
0
pT2 to pT4
< 45 mm
1
pT1
>= 45 mm
1
pT2 to pT4
>= 45 mm
2
Risk factors for mortality from multivariate analysis with p-value less than 0.05:
(1) primary tumor score 1 or 2 (HR 2.9)
PTS
4-Year Overall Survival
0
96%
1
83%
2
70%
Other factors from the multivariate analysis:
(1) presence of lymph node metastases
(2) elevated serum CEA in ng/mL (< 5 ng/mL)
(3) elevated serum CA 19-9 in U/mL (> 37 U/mL)
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