Is the signet ring cell histological type a positive prognostic factor for gastric adenocarcinoma after D2 radical gastrectomy?

Previous studies indicated the histological type might have prognostic value in gastric adenocarcinoma patients. The aim of this study was to clarify whether the signet ring cell (SRC) histological type of gastric adenocarcinoma is associated with worse prognosis than pure gastric adenocarcinoma wit...

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Veröffentlicht in:International journal of clinical and experimental pathology 2017-01, Vol.10 (10), p.10489-10494
Hauptverfasser: Cai, Lei, Li, Yan, Yang, Xuewen, Wang, Wenbin, Guo, Man, Lian, Xiao, Xiao, Shuao, Li, Guocai, Zheng, Jiyang, Zhang, Hongwei
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container_title International journal of clinical and experimental pathology
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creator Cai, Lei
Li, Yan
Yang, Xuewen
Wang, Wenbin
Guo, Man
Lian, Xiao
Xiao, Shuao
Li, Guocai
Zheng, Jiyang
Zhang, Hongwei
description Previous studies indicated the histological type might have prognostic value in gastric adenocarcinoma patients. The aim of this study was to clarify whether the signet ring cell (SRC) histological type of gastric adenocarcinoma is associated with worse prognosis than pure gastric adenocarcinoma without any mixed histological component (PGA) for patients underwent D2 radical gastrectomy. By the database of 6205 surgical patients with gastric adenocarcinoma at our department between September 2008 and May 2015, we investigated 133 SRC patients and 2847 PGA patients who underwent D2 radical gastrectomy. The clinic and pathologic data, especially tumor and pathology molecular markers, and 5-year overall survival rate were compared between SRC and PGA. The univariate and multivariate analysis were used to testify the prognosis significance of SRC. SRC was more frequently found in younger (
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The aim of this study was to clarify whether the signet ring cell (SRC) histological type of gastric adenocarcinoma is associated with worse prognosis than pure gastric adenocarcinoma without any mixed histological component (PGA) for patients underwent D2 radical gastrectomy. By the database of 6205 surgical patients with gastric adenocarcinoma at our department between September 2008 and May 2015, we investigated 133 SRC patients and 2847 PGA patients who underwent D2 radical gastrectomy. The clinic and pathologic data, especially tumor and pathology molecular markers, and 5-year overall survival rate were compared between SRC and PGA. The univariate and multivariate analysis were used to testify the prognosis significance of SRC. SRC was more frequently found in younger (&lt;50), female patients, lower part of stomach and easy to metastasize lymph nodes. And more positive CA19-9 and less positive EGFR were obtained in SRC. The 5-year survival rate was not different between SRC and PGA after D2 radical gastrectomy, even assessed by T stage. Multivariate analysis showed age, T and N stage, CEA, CA19-9 and CA125 were the independent prognostic factors, not included the SRC histological type. Although SRC histological type of gastric adenocarcinoma after D2 radical gastrectomy had its own clinic-pathologic characters, especially in molecular tumor and pathological markers, the histological type of SRC was a negative prognostic factor in gastric adenocarcinoma patients after D2 radical gastrectomy.</description><identifier>EISSN: 1936-2625</identifier><identifier>PMID: 31966387</identifier><language>eng</language><publisher>United States: e-Century Publishing Corporation</publisher><subject>Original</subject><ispartof>International journal of clinical and experimental pathology, 2017-01, Vol.10 (10), p.10489-10494</ispartof><rights>IJCEP Copyright © 2017.</rights><rights>IJCEP Copyright © 2017 2017</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6965789/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6965789/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31966387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cai, Lei</creatorcontrib><creatorcontrib>Li, Yan</creatorcontrib><creatorcontrib>Yang, Xuewen</creatorcontrib><creatorcontrib>Wang, Wenbin</creatorcontrib><creatorcontrib>Guo, Man</creatorcontrib><creatorcontrib>Lian, Xiao</creatorcontrib><creatorcontrib>Xiao, Shuao</creatorcontrib><creatorcontrib>Li, Guocai</creatorcontrib><creatorcontrib>Zheng, Jiyang</creatorcontrib><creatorcontrib>Zhang, Hongwei</creatorcontrib><title>Is the signet ring cell histological type a positive prognostic factor for gastric adenocarcinoma after D2 radical gastrectomy?</title><title>International journal of clinical and experimental pathology</title><addtitle>Int J Clin Exp Pathol</addtitle><description>Previous studies indicated the histological type might have prognostic value in gastric adenocarcinoma patients. The aim of this study was to clarify whether the signet ring cell (SRC) histological type of gastric adenocarcinoma is associated with worse prognosis than pure gastric adenocarcinoma without any mixed histological component (PGA) for patients underwent D2 radical gastrectomy. By the database of 6205 surgical patients with gastric adenocarcinoma at our department between September 2008 and May 2015, we investigated 133 SRC patients and 2847 PGA patients who underwent D2 radical gastrectomy. The clinic and pathologic data, especially tumor and pathology molecular markers, and 5-year overall survival rate were compared between SRC and PGA. The univariate and multivariate analysis were used to testify the prognosis significance of SRC. SRC was more frequently found in younger (&lt;50), female patients, lower part of stomach and easy to metastasize lymph nodes. And more positive CA19-9 and less positive EGFR were obtained in SRC. The 5-year survival rate was not different between SRC and PGA after D2 radical gastrectomy, even assessed by T stage. Multivariate analysis showed age, T and N stage, CEA, CA19-9 and CA125 were the independent prognostic factors, not included the SRC histological type. Although SRC histological type of gastric adenocarcinoma after D2 radical gastrectomy had its own clinic-pathologic characters, especially in molecular tumor and pathological markers, the histological type of SRC was a negative prognostic factor in gastric adenocarcinoma patients after D2 radical gastrectomy.</description><subject>Original</subject><issn>1936-2625</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNpVkE1Lw0AQhoMgtlb_guzRS2C_us1eFKlfhYIXPYfJZjZdSbJxd1voyb9u1Cp6GF5m5p3nhTnKpkwLlXPF55PsNMZXShXjkp5kE8G0UqJYTLP3VSRpgyS6psdEgusbYrBtycbF5FvfOAMtSfsBCZDBR5fcDskQfNP7mJwhFkzygdixGogpjCOosfcGgnG974CATRjILScB6i_alw_Hs25_fZYdW2gjnh90lr3c3z0vH_P108NqebPOB65UyrW2c6NtYaWo6NgAZ5IWzFDGwQoKlTSjygKpQgQq2UIIzaWs6gUzFS3ELLv65g7bqsPaYJ8CtOUQXAdhX3pw5f9N7zZl43el0mq-KPQIuDwAgn_bYkxl5-Lnp6BHv40lF1JIXVApR-vF36zfkJ-viw8XeIDd</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Cai, Lei</creator><creator>Li, Yan</creator><creator>Yang, Xuewen</creator><creator>Wang, Wenbin</creator><creator>Guo, Man</creator><creator>Lian, Xiao</creator><creator>Xiao, Shuao</creator><creator>Li, Guocai</creator><creator>Zheng, Jiyang</creator><creator>Zhang, Hongwei</creator><general>e-Century Publishing Corporation</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Is the signet ring cell histological type a positive prognostic factor for gastric adenocarcinoma after D2 radical gastrectomy?</title><author>Cai, Lei ; Li, Yan ; Yang, Xuewen ; Wang, Wenbin ; Guo, Man ; Lian, Xiao ; Xiao, Shuao ; Li, Guocai ; Zheng, Jiyang ; Zhang, Hongwei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-99f5c9f8f43b099fa214081c012af30ab4caf348e06eea0417339244bd71cb083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Cai, Lei</creatorcontrib><creatorcontrib>Li, Yan</creatorcontrib><creatorcontrib>Yang, Xuewen</creatorcontrib><creatorcontrib>Wang, Wenbin</creatorcontrib><creatorcontrib>Guo, Man</creatorcontrib><creatorcontrib>Lian, Xiao</creatorcontrib><creatorcontrib>Xiao, Shuao</creatorcontrib><creatorcontrib>Li, Guocai</creatorcontrib><creatorcontrib>Zheng, Jiyang</creatorcontrib><creatorcontrib>Zhang, Hongwei</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of clinical and experimental pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cai, Lei</au><au>Li, Yan</au><au>Yang, Xuewen</au><au>Wang, Wenbin</au><au>Guo, Man</au><au>Lian, Xiao</au><au>Xiao, Shuao</au><au>Li, Guocai</au><au>Zheng, Jiyang</au><au>Zhang, Hongwei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the signet ring cell histological type a positive prognostic factor for gastric adenocarcinoma after D2 radical gastrectomy?</atitle><jtitle>International journal of clinical and experimental pathology</jtitle><addtitle>Int J Clin Exp Pathol</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>10</volume><issue>10</issue><spage>10489</spage><epage>10494</epage><pages>10489-10494</pages><eissn>1936-2625</eissn><abstract>Previous studies indicated the histological type might have prognostic value in gastric adenocarcinoma patients. The aim of this study was to clarify whether the signet ring cell (SRC) histological type of gastric adenocarcinoma is associated with worse prognosis than pure gastric adenocarcinoma without any mixed histological component (PGA) for patients underwent D2 radical gastrectomy. By the database of 6205 surgical patients with gastric adenocarcinoma at our department between September 2008 and May 2015, we investigated 133 SRC patients and 2847 PGA patients who underwent D2 radical gastrectomy. The clinic and pathologic data, especially tumor and pathology molecular markers, and 5-year overall survival rate were compared between SRC and PGA. The univariate and multivariate analysis were used to testify the prognosis significance of SRC. SRC was more frequently found in younger (&lt;50), female patients, lower part of stomach and easy to metastasize lymph nodes. And more positive CA19-9 and less positive EGFR were obtained in SRC. The 5-year survival rate was not different between SRC and PGA after D2 radical gastrectomy, even assessed by T stage. Multivariate analysis showed age, T and N stage, CEA, CA19-9 and CA125 were the independent prognostic factors, not included the SRC histological type. Although SRC histological type of gastric adenocarcinoma after D2 radical gastrectomy had its own clinic-pathologic characters, especially in molecular tumor and pathological markers, the histological type of SRC was a negative prognostic factor in gastric adenocarcinoma patients after D2 radical gastrectomy.</abstract><cop>United States</cop><pub>e-Century Publishing Corporation</pub><pmid>31966387</pmid><tpages>6</tpages></addata></record>
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title Is the signet ring cell histological type a positive prognostic factor for gastric adenocarcinoma after D2 radical gastrectomy?
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