Shiraishi et al identified prognostic factors for a patient with a large gastric cancer. These can help to identify a patient who may require more aggressive management. The authors are from Oita University in Japan.
Patient selection: large gastric cancer >= 10 cm in diameter, status post gastrectomy
Median survival in population: 15 months
5-Year survival rate: 22%
Predictors of worse survival:
(1) serosal invasion (OR 3.1)
(2) extragastric lymph node metastases (OR 2.1)
(3) liver metastases (OR 3.8)
Extent of lymph node dissection was not prognostic.
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