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Keywords {🔍}

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Topics {✒️}

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Questions {❓}

• Is surgery alone sufficient for treating T1 gastric cancer with extensive lymph node metastases?

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WebPage:
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         headline:Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007)
         description:The aim of this retrospective study was to investigate the tumor characteristics, surgical details, and survival distribution of surgically resected cases of gastric cancer from the nationwide registry of the Japanese Gastric Cancer Association. Data from 118,367 patients with primary gastric carcinoma who underwent resection between 2001 and 2007 were included in the survival analyses. The 5-year survival rates were calculated for various subsets of prognostic factors. The median age of the patients was 67 years. The proportions of patients with pathological stage (Japanese Gastric Cancer Association) IA, IB, II, IIIA, IIIB, and IV disease were 44.0%, 14.7%, 11.7%, 9.5%, 5.0%, and 12.4% respectively. The death rate within 30 days of operation was 0.5%. The 5-year overall survival rate in the 118,367 patients who were treated by resection was 71.1%. The 5-year overall survival rates of patients with pathological stage IA, IB, II, IIIA, IIIB, and IV disease were 91.5%, 83.6%, 70.6%, 53.6%, 34.8%, and 16.4% respectively. The 5-year disease-specific survival rates in the patients with pT1 (mucosa) disease after D1+ dissection of lymph node station no. 7 (D1 + α), D1+ dissection of lymph node station nos. 7, 8, and 9 (D1+ β), and D2 lymphadenectomy were 99.4%, 99.6%, and 99.1% respectively. The 5-year disease-specific survival rates in the patients with pT1 (submucosa) disease after D1 + α, D1 + β, and D2 lymphadenectomy were 97.3%, 98.1%, and 96.9% respectively. Detailed analyses of the data from more than 100,000 patients show the recent trends of the outcomes of gastric cancer treatment in Japan and provide baseline information for use by medical communities around world.
         datePublished:2017-04-17T00:00:00Z
         dateModified:2017-04-17T00:00:00Z
         pageStart:144
         pageEnd:154
         sameAs:https://doi.org/10.1007/s10120-017-0716-7
         keywords:
            Gastric cancer
            Nationwide registry
            Modified gastrectomy
            Survival
            Surgical Oncology
            Oncology
            Abdominal Surgery
            Gastroenterology
            Cancer Research
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      headline:Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007)
      description:The aim of this retrospective study was to investigate the tumor characteristics, surgical details, and survival distribution of surgically resected cases of gastric cancer from the nationwide registry of the Japanese Gastric Cancer Association. Data from 118,367 patients with primary gastric carcinoma who underwent resection between 2001 and 2007 were included in the survival analyses. The 5-year survival rates were calculated for various subsets of prognostic factors. The median age of the patients was 67 years. The proportions of patients with pathological stage (Japanese Gastric Cancer Association) IA, IB, II, IIIA, IIIB, and IV disease were 44.0%, 14.7%, 11.7%, 9.5%, 5.0%, and 12.4% respectively. The death rate within 30 days of operation was 0.5%. The 5-year overall survival rate in the 118,367 patients who were treated by resection was 71.1%. The 5-year overall survival rates of patients with pathological stage IA, IB, II, IIIA, IIIB, and IV disease were 91.5%, 83.6%, 70.6%, 53.6%, 34.8%, and 16.4% respectively. The 5-year disease-specific survival rates in the patients with pT1 (mucosa) disease after D1+ dissection of lymph node station no. 7 (D1 + α), D1+ dissection of lymph node station nos. 7, 8, and 9 (D1+ β), and D2 lymphadenectomy were 99.4%, 99.6%, and 99.1% respectively. The 5-year disease-specific survival rates in the patients with pT1 (submucosa) disease after D1 + α, D1 + β, and D2 lymphadenectomy were 97.3%, 98.1%, and 96.9% respectively. Detailed analyses of the data from more than 100,000 patients show the recent trends of the outcomes of gastric cancer treatment in Japan and provide baseline information for use by medical communities around world.
      datePublished:2017-04-17T00:00:00Z
      dateModified:2017-04-17T00:00:00Z
      pageStart:144
      pageEnd:154
      sameAs:https://doi.org/10.1007/s10120-017-0716-7
      keywords:
         Gastric cancer
         Nationwide registry
         Modified gastrectomy
         Survival
         Surgical Oncology
         Oncology
         Abdominal Surgery
         Gastroenterology
         Cancer Research
      image:
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            name:Hitoshi Katai
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      name:Atsushi Nashimoto
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            name:Niigata Cancer Center Hospital
            address:
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      name:Department of Gastric Surgery, National Cancer Center Hospital, Tokyo, Japan
      name:Department of Medical Informatics, Niigata University Medical and Dental Hospital, Niigata, Japan
      name:Department of Medical Informatics, Niigata University Medical and Dental Hospital, Niigata, Japan
      name:Department of Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
      name:Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
      name:Department of Endoscopy, National Cancer Center Hospital, Tokyo, Japan
      name:Department of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan
      name:Endoscopy Division, Shizuoka Cancer Center, Shizuoka, Japan
      name:Division of Therapeutic Endoscopy, Kitasato University School of Medicine, Kanagawa, Japan
      name:Department of Gastric Surgery, National Cancer Center Hospital, Tokyo, Japan
      name:Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo, Japan
      name:Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Hyogo, Japan
      name:Department of Surgery, Niigata Cancer Center Hospital, Niigata, Japan

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