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Influential factors and prognostic analysis of blood vessel invasion in advanced gastric cancer

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机构: [1]Department of Pathology, The Fourth Hospital of Hebei Medical University, China, No. 12, Jiankang Road, Shijiazhuang, 050011, PR China [2]Department of General Surgery, The Fourth Hospital of Hebei Medical University, China, No. 12, Jiankang Road, Shijiazhuang, 050011, PR China
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关键词: Advanced gastric cancer Vascular invasion Blood vessel invasion Prognostic analysis Retrospective study

摘要:
The purpose of this study was to analyze the influencing factors of BVI in advanced gastric cancer and explore the factors affecting the prognosis of advanced gastric cancer, so as to accurately evaluate the disease status and enable patients to receive effective treatment. We retrospectively analyzed 622 cases with complete data and successful follow-up. BVI was found in 144 of the 622 patients with advanced gastric cancer, with a detection rate of 23.15%. BVI was closely related to the differentiation degree, infiltration depth and lymph node metastasis of advanced gastric cancer, (P < 0.05). Gender, age, tumor location, tumor size, Lauren classification, tumor M stage, and clinical TNM stage were not the influencing factors of BVI in patients with advanced gastric cancer (P > 0.05). The 5-year survival rate of patients in the positive group of BVI was 34.72%. The 5-year survival rate of patients with advanced gastric cancer was correlated with BVI, Lauren classification, depth of invasion, lymph node metastasis, and clinical TNM staging, (P < 0.05). The 5-year survival rate was independent of gender, age, tumor location, tumor size, tumor tissue differentiation, and M stage (P > 0.05). The results of multi-factor analysis showed that BVI, N stage and clinical TNM stage were independent predictors of prognosis in patients with advanced radical gastric cancer. By analyzing the stage and related prognostic factors of resectable advanced gastric cancer, we found that BVI was not only closely related to lymph node metastasis, but also an independent predictor of prognosis of advanced gastric cancer. As this study was only a single-center retrospective study, there may be a selective bias in clinical data. So large-scale and multi-center collaboration is needed to further explore the influencing factors of BVI in the progression of gastric cancer.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 病理学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 病理学
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出版当年[2020]版:
Q2 PATHOLOGY
最新[2024]版:
Q2 PATHOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Pathology, The Fourth Hospital of Hebei Medical University, China, No. 12, Jiankang Road, Shijiazhuang, 050011, PR China
通讯作者:
通讯机构: [2]Department of General Surgery, The Fourth Hospital of Hebei Medical University, China, No. 12, Jiankang Road, Shijiazhuang, 050011, PR China [*1]The Fourth Hospital of Hebei Medical University, No.12, Jiankang Road, Shijiazhuang, 050011, PR China.
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