中德临床肿瘤学杂志（英文版）2007，Vol.6Issue(5)：444-446,3.
胃中部癌前哨淋巴结邻近、横向和跳跃性转移的临床分析
Distribution pattern of solitary lymph node in middle third gastric cancer
摘要
Abstract
Objective: To investigate the distribution pathway of sentinel lymph nodes (SLN) in middle third gastric carcinoma, as the foundation for rational lymphadenectomy. Methods: 52 cases of middle third tumors with solitary lymph nodes from 1852 gastric carcinomas were selected. The locations and histological types of metastatic lymph nodes were analyzed retrospectively. Results: Of 52 solitary node metastases cases, 37 were limited to perigastric nodes (N1), while 15 with skipping metastasis. In the 35 cases with tumor of lesser curvature, there were 17 cases found lymph nodes of the lesser curvature side (No. 3), 5 cases involved lymph nodes of the greater curvature (No. 4), and 8 cases with lymph nodes of the left gastric artery (No. 7). In the 17 cases with tumor of greater curvature, 7 cases spread to No. 4, while 3 metastasized to lymph nodes of the spleen hilum (No. 10). The difference of the histological types in groups N1 and over N1, were not statistically significant (P ＞ 0.05). Conclusion: Adjacent metastasis formed the primary distribution pattern of SLN in middle third gastric carcinoma, transversal and skipping metastases being also notable.关键词
gastric cancer/ lymph node metastasis/ sentinel lymph nodeKey words
gastric cancer/ lymph node metastasis/ sentinel lymph node分类
医药卫生引用本文复制引用
..胃中部癌前哨淋巴结邻近、横向和跳跃性转移的临床分析[J].中德临床肿瘤学杂志（英文版）,2007,6(5):444-446,3.基金项目
Supported by the Natural Science Foundation of Liaoning (No.200420741) and the Key Project of the Education Department of Liaoning (No. 2004D182). （No.200420741）
