Analysis of lymph node spread and its prognostic significance in ampullary adenocarcinoma: A retrospective study.
Analysis of lymph node spread and its prognostic significance in ampullary adenocarcinoma: A retrospective study.
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DOI：
10.3389/fsurg.2022.901615
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发表时间：
2022
影响因子：
1.8
通讯作者：
Zhou, Zun-Qiang
中科院分区：
文献类型：
--
作者：
Zhang, Zheng-Yun;Guan, Jiao;Wang, Xin-Ping;Hao, Di-Si;Zhou, Zun-Qiang
淋巴结状态是壶腹腺癌的重要预后因素。本研究旨在评价淋巴结阳性在本病中的临床意义。回顾性收集并分析了2007年1月至2018年12月期间接受壶腹腺癌根治性胰腺切除术的110例患者的数据。每例患者的中位淋巴结数量为32（20-46）。84例（76.4%）患者有淋巴结转移。在阳性结节患者中，最常见的受累淋巴结是#13（80.1%）和#17（78.6%），其次是#12（69.0%）和#8（57.1%）。在#13、#17、#1 - 2和#8中有3-4个阳性淋巴结的患者的生存率低于0或1-2个淋巴结的患者。壶腹腺癌通常扩散到#13、#17、#12和#8淋巴结。这些淋巴结极大地影响了患者的生存率。
Nodal status is a vital prognostic factor for ampullary adenocarcinoma. This study was designed to evaluate the clinical significance of the positive nodes in this disease. Data from 110 patients who underwent curative pancreatoduodenectomy for ampullary adenocarcinoma between January 2007 and December 2018 were retrospectively collected and analyzed. The median number of lymph nodes per patient was 32 (20–46). Metastatic lymph nodes were found in 84 (76.4%) patients. In patients with positive nodules, the most commonly involved nodes were the #13 (80.1%) and #17 (78.6%) nodes, followed by #12 (69.0%) and #8 nodes (57.1%). Patients with 3–4 positive nodes among #13, #17, #12, and #8 had lower survival rates than those with 0 or 1–2 nodes. Ampullary adenocarcinoma commonly spreads to #13, #17, #12, and #8 lymph nodes. These nodes affected the patients' survival rates dramatically.
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