Proposal of the surgical options for primary tumor control during sentinel node navigation surgery based on the discrepancy between preoperative and postoperative early gastric cancer diagnoses

Annals of Surgical Oncology
Ji Yeon ParkYoung Woo Kim

Abstract

There is no consensus on the optimal method of primary tumor control, determined by preoperative clinical factors, during sentinel node (SN) navigation surgery for early gastric cancer (EGC). In this study, we investigated the accuracy of clinical diagnosis based on preoperative examination in patients with EGC and proposed surgical options for primary tumor control during SN navigation surgery. We analyzed 815 patients with clinical stage IA gastric cancer who underwent gastrectomy at the National Cancer Center in Korea between March 2001 and February 2011. The clinical stage was determined by endoscopy, endoscopic ultrasonography, and abdominal computed tomography. The preoperative assessment of tumor depth and tumor size was accurate in 57.5 and 70.8 % of patients, respectively. Tumor depth and size were underestimated in 8 and 25.3 % of patients. The overall accuracy of histologic diagnosis by endoscopic biopsy was 87.2 %. Of those tumors diagnosed preoperatively as differentiated, 20.5 % revealed mixed histology of undifferentiated type. The recommendation for SN biopsy may be limited to tumors sized 3 cm or smaller to avoid positive lateral margins and to minimize the risk of skip metastases. Endoscopic resection may safe...Continue Reading

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Citations

Mar 11, 2015·Asian Journal of Endoscopic Surgery·Cheulsu Byun, Sang-Uk Han
Nov 10, 2015·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Simona GurzuZoltan Kadar
Nov 16, 2019·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Masashi TakeuchiYuko Kitagawa
Jun 4, 2020·The British Journal of Surgery·J Y AnUNKNOWN on behalf of the SEntinel Node ORIented Tailored Approach (SENORITA) Study Group
Jan 27, 2016·World Journal of Gastroenterology : WJG·Taeil Son, Woo Jin Hyung
Feb 7, 2019·Frontiers in Surgery·Dimitrios Symeonidis, Konstantinos Tepetes

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