Survival analysis of gastric cancer patients with tumor thrombus in the portal vein.

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Tytuł:: Survival analysis of gastric cancer patients with tumor thrombus in the portal vein.
Autorzy:: Eom BW; Gastric Cancer Branch, Research Institute and Hospital, National Cancer Center, Gyeonggi-do, Korea.
Lee JH
Lee JS
Kim MJ
Ryu KW
Choi IJ
Cho SJ
Lee JY
Rhee J
Nam BH
Kim YW
Źródło:: Journal of surgical oncology [J Surg Oncol] 2012 Mar; Vol. 105 (3), pp. 310-5. Date of Electronic Publication: 2011 Sep 06.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York, Plenum.
MeSH Terms:: Portal Vein/*diagnostic imaging
Stomach Neoplasms/*mortality
Venous Thrombosis/*mortality
Adult ; Age Factors ; Aged ; Female ; Humans ; Liver Neoplasms/mortality ; Liver Neoplasms/secondary ; Male ; Middle Aged ; Multivariate Analysis ; Prognosis ; Retrospective Studies ; Sex Factors ; Stomach Neoplasms/complications ; Survival Analysis ; Tomography, X-Ray Computed ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/etiology
Entry Date(s):: Date Created: 20110908 Date Completed: 20120404 Latest Revision: 20161125
Update Code:: 20240104
DOI:: 10.1002/jso.22083
PMID:: 21898415
: Czasopismo naukowe

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Background: A tumor thrombus in the portal vein originating from gastric cancer is a rare condition. Little is known about the development of portal vein tumor thrombus (PVTT) and its effect on the survival of gastric cancer patients.
Methods: PVTT originating from gastric cancer was identified retrospectively with computed tomography in 51 patients, from January 2002 to June 2007. PVTT was classified by metastatic routes as follows: lymph node (LN), hepatic mass, and hematogenous type. The median survival from PVTT, and the factors affecting the survival of gastric cancer patients with PVTT were analyzed.
Results: The median survival of gastric cancer patients with PVTT (N = 51) was 5.4 months. The median survival was compared according to clinical characteristics, and multivariate analysis proved that female and hepatic mass type were independent risk factors for poor prognosis. The characteristics of the hepatic mass type were old age, higher proportion of tumors located in the upper-third of the stomach, and liver metastasis, compared to the LN or the hematogeneous type.
Conclusions: PVTT originating from gastric cancer was a poor prognostic factor and the median survival from PVTT was different according to several clinical factors.
(Copyright © 2011 Wiley Periodicals, Inc.)

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