Rong Chen1, Qingsheng He1, Jianxin Cui2, Shibo Bian1, Lin Chen3. 1. Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China; School of Medicine, Nankai University, Tianjin 300071, China. 2. Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China. 3. Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China; School of Medicine, Nankai University, Tianjin 300071, China. Email: chenlinbj@vip.sina.com.
Abstract
OBJECTIVE: To discuss the clinicopathological factors for lymph node metastasis (LNM) in early gastric cancer (EGC), including age, gender, location, size, macroscopic type, depth of invasion, histological type, and lymphatic invasion, and the regulation of LNM in EGC. DATA SOURCES: The data used in this review were mainly from PubMed articles published in English. The search terms were "early gastric cancer" and "lymph node metastasis". STUDY SELECTION: Articles were selected if they reported the clinicopathological factors and regulation of LNM in EGC. RESULTS: The prognosis of EGC is better than advanced gastric cancer, with over 90% 5-year survival rate. The main risk factors for LNM in EGC are tumor size, macroscopic type, depth of invasion, histological type, ulceration, and lymphatic invasion. CONCLUSIONS: LNM in EGC is a critical factor for assessment of prognosis and determination of therapeutic strategy. Endoscopic mucosal resection or endoscopic submucosal dissection should be considered when patients have low risk of LNM.
OBJECTIVE: To discuss the clinicopathological factors for lymph node metastasis (LNM) in early gastric cancer (EGC), including age, gender, location, size, macroscopic type, depth of invasion, histological type, and lymphatic invasion, and the regulation of LNM in EGC. DATA SOURCES: The data used in this review were mainly from PubMed articles published in English. The search terms were "early gastric cancer" and "lymph node metastasis". STUDY SELECTION: Articles were selected if they reported the clinicopathological factors and regulation of LNM in EGC. RESULTS: The prognosis of EGC is better than advanced gastric cancer, with over 90% 5-year survival rate. The main risk factors for LNM in EGC are tumor size, macroscopic type, depth of invasion, histological type, ulceration, and lymphatic invasion. CONCLUSIONS: LNM in EGC is a critical factor for assessment of prognosis and determination of therapeutic strategy. Endoscopic mucosal resection or endoscopic submucosal dissection should be considered when patients have low risk of LNM.