Description

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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