Document Detail


Clinical implications of lymph node micrometastasis in patients with histologically node-negative (pN0) esophageal carcinoma.
MedLine Citation:
PMID:  11920779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Lymph node micrometastasis is frequently detected in resected specimens of esophageal squamous cell carcinoma (ESCC). The goal of this study was to evaluate the clinical implication of micrometastasis in patients with lymph node-negative (pN0) disease. METHODS: We examined the presence of micrometastasis in 2,511 lymph nodes from 53 patients with pN0 disease who underwent curative esophagectomy. All lymph nodes and the primary tumors were immunostained using an anticytokeratin antibody cocktail (AE1/AE3). RESULTS: Micrometastasis was detected in 18 lymph nodes (0.72%) from 14 patients (26.4%). Detection of micrometastasis was not associated with the depth of invasion or the differentiation or lymphatic invasion. Lymph nodes containing micrometastases were widely distributed, but the most frequently involved nodes were located along the lesser curvature of the stomach. Four patients with micrometastasis (29%) and the only two patients without micrometastasis (5%) had recurrence as lymph node metastases (P = 0.036). There were no significant differences in recurrence-free survival and disease-specific survival between patients with micrometastasis and patients without micrometastasis. CONCLUSIONS: These results show that micrometastasis might increase the risk of lymph node recurrence, but does not influence the survival of patients with pN0 ESCC.
Authors:
Tsutomu Nakamura; Hiroko Ide; Reiki Eguchi; Kazuhiko Hayashi; Masaho Ota; Ken Takasaki
Related Documents :
11071569 - Ultrastructural aspects of reactivity of regional lymph nodes on pulmonary inflammation...
11844129 - Effect of pulse steroid therapy in a patient with langerhans' cell histiocytosis.
19609619 - Single-institution series of early-stage merkel cell carcinoma: long-term outcomes in 9...
18156929 - Benefits of reoperation of t2 and more advanced incidental gallbladder carcinoma: analy...
15917699 - Prognostic factors after cervical lymph node dissection for cutaneous melanoma metastases.
10833099 - The detection of cytokeratins in lymph nodes of duke's b colorectal cancer subjects pre...
3741009 - Comparison of median sternotomy and thoracotomy for resection of pulmonary metastases i...
25203129 - Gastrointestinal stromal tumor: optimizing the use of cross-sectional chest imaging dur...
22052229 - Clinical implications of high met gene dosage in non-small cell lung cancer patients wi...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  79     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-03-28     Completed Date:  2002-04-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  224-9     Citation Subset:  IM    
Copyright Information:
© 2002 Wiley-Liss, Inc.
Affiliation:
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. tsutomu@ige.twmu.ac.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Squamous Cell / mortality,  pathology,  secondary*,  surgery
Esophageal Neoplasms / mortality,  pathology*,  surgery
Esophagectomy
Female
Humans
Lymph Node Excision
Lymph Nodes / pathology*
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Invasiveness
Prognosis
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prognostic value of c-erbB2 expression in breast cancer.
Next Document:  Expression of CD44v6 in advanced gastric cancer and its relationship to hematogenous metastasis and ...