Surgical outcomes of patients with gastric carcinoma: the importance of primary tumor location and microvessel invasion

This study was done to identify clinicopathologic predictors of disease-free survival (DFS) and overall survival (OS) among patients undergoing potentially curative resections for gastric carcinoma. We reviewed 110 patients surgically treated between 1987 and 2001. There were 74 men and 36 women wit...

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Bibliographic Details
Published in:Surgery 2003-10, Vol.134 (4), p.720-727
Main Authors: Talamonti, Mark S, Kim, Simon P, Yao, Katherine A, Wayne, Jeffrey D, Feinglass, Joseph, Bennett, Charles L, Rao, Sambasiva
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Capillaries - pathology
Carcinoma - blood supply
Carcinoma - mortality
Carcinoma - pathology
Carcinoma - surgery
Esophagectomy
Female
Gastrectomy - methods
Humans
Lymph Nodes - pathology
Male
Middle Aged
Neoplasm Invasiveness - pathology
Neoplasm Staging
Prognosis
Stomach Neoplasms - blood supply
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Survival Analysis
Treatment Outcome
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Summary:This study was done to identify clinicopathologic predictors of disease-free survival (DFS) and overall survival (OS) among patients undergoing potentially curative resections for gastric carcinoma. We reviewed 110 patients surgically treated between 1987 and 2001. There were 74 men and 36 women with a mean age of 65.2 years (range 27 to 87 years). Log-rank tests and Kaplan-Meier survival curves were generated to determine clinicopathologic factors influencing DFS and OS. Significant factors were then determined with Cox multivariate analysis. Median survival for all patients was 38.2 months and the estimated 5-year OS was 42.3%. There were no significant differences in DFS or OS for female sex, black race, or age>65. Symptoms associated with lower DFS were weight loss and palpable abdominal mass (P
ISSN:0039-6060
1532-7361
DOI:10.1016/S0039-6060(03)00337-4