Influence of Prognostic Factors for Recurrence of Adenocarcinoma of the Stomach

Gastric cancer is the second most important neoplasm in the world. Surgical resection is the treatment of choice for gastric cancer, and recognized by the International Union against Cancer (International Union Against Cancer - UICC) TNM classification of the parameters of the tumor and lymph node....

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Bibliographic Details
Published in:Medicinski arhiv 2016-12, Vol.70 (6), p.441-444
Main Authors: Mehmedagic, Indira, Hasukic, Sefik, Agic, Mirha, Kadric, Nedzad, Hasukic, Ismar
Format: Article
Language:English
Subjects:
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Aged
Female
Gastrectomy - methods
Hospitals, University
Humans
Lymph Node Excision
Male
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Neoplasm Staging
Original Paper
Prognosis
Prospective Studies
Retrospective Studies
Splenectomy
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Treatment Outcome
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Summary:Gastric cancer is the second most important neoplasm in the world. Surgical resection is the treatment of choice for gastric cancer, and recognized by the International Union against Cancer (International Union Against Cancer - UICC) TNM classification of the parameters of the tumor and lymph node. Prognostic factors related to characteristics of the tumor by histopathologic findings have an impact on the planning of the operation. According to the results of most studies it is possible to predict survival and recurrence based on histological type and TNM classification of tumors on the one hand and the surgical procedure on the other. The aim of the research was to analyze prognostic factors that influenced the frequency of recurrence in gastric surgery patients. The five year study covered a population of 100 treated patients of adenocarcinoma of the stomach at the Department of Surgery, University Clinical Center Tuzla. The first group were characteristics of tumors in patients with gastric adenocarcinoma. Lymphadenectomy and splenectomy, types of surgery were the second group of prognostic factors. Histological type and TNM stage of tumor as prognostic factors had a significant impact on local tumor recurrence. The type of surgery had no statistically significant value for tumor recurrence (p = 0.7520). Statistical analysis of prognostic factors related to histopathologic characteristics of tumors and the type of surgery gave the results that had an impact on recurrence in gastric surgery patients. The most important prognostic factors were TNM stage of tumor and histological type of tumor that influenced the incidence of recurrence.
ISSN:0350-199X
1986-5961
DOI:10.5455/medarh.2016.70.441-444