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J Korean Cancer Assoc > Volume 22(3); 1990 > Article
Journal of the Korean Cancer Association 1990;22(3): 549-556.
제 3 기 위암에서의 국소임파절 전이양상의 분석
권기주, 정민, 김진복
Analysis of regional Lymph Node Metastasis in Resectable Stage 3 Gastric Cancer
Ki Joo Kweon, Min Chung, Jin Pok Kim
ABSTRACT
We analyzed the pattern of regional lymph node metastasis in resectable stage III gastric cancers which were operated at the Department of Surgery, Seoul National University Hospital from January 1987 to June 1988. The results were as followr. 1) The number of patients was 187, 123 were males and 64 females. The average number of dissected lymph node was 29.97 (range: 10-77), and that of metastatic lymph node was 7.9(range: 1-58). 2) In total cases, the rates of metastasis in NNand N, lymph nodes were 98.5%, 24.1% and 12.4%, respectively. 3) Young patients under the age of 30 had more frequent metastasis to N, lymph nodes than older gtOUpS. 4) When the tumor was located at the lower 1/3 or posterior wall of the stomach, the rates of metastasis to N, and N, lymph nodes were higher than other cases. 5) In three cases, the metastasis was skipped to N, lymph nodes without involvement of N, nodes. 6) Gastric cancers of Borrmann type IV had more frequent metastasis to N, lymph nodes. 1) When the mean diameter of tumor was over 5 cm, metastatic rates to NN, nodes were higher than those of tumor under 5 cm. 8) There was more frequent metastasis to N2 and N2 lymph nodes in the tumors penetrating serosa. 9) Differentiated adenocarcinomas of stomach had more frequent involvement of N, lymph nodes than undifferentiated adenocarcinoma.
Key words: Gastric cancer, Lymph dissection, Lymph node metastais
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