Roberts PO, Plummer J, Leake PA, Scott S, Souza TG, Johnson A, Gibson TN, Hanchard B, Reid M. Pathological factors affecting gastric adenocarcinoma survival in a Caribbean population from 2000-2010. World J Gastrointest Surg 2014; 6(6): 94-100 [PMID: 24976902 DOI: 10.4240/wjgs.v6.i6.94]
Corresponding Author of This Article
Dr. Patrick O Roberts, The Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Mona, Kingston 7, Jamaica, West Indies. paorro@yahoo.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Jun 27, 2014; 6(6): 94-100 Published online Jun 27, 2014. doi: 10.4240/wjgs.v6.i6.94
Table 1 Clinical characteristics
Characteristic
n (%)
Gender
Male
36 (45.6 )
Female
43 (54.4 )
Number of previous gastrectomies by surgeon
< 10
30 (38.0 )
> 10
49 (62.0)
Patient status
Alive
7 (8.9)
Censored
40 (50.6)
Dead
32 (40.5)
Table 2 Tumour location n (%)
Location of tumour
n = 79
Lesser curvature
Uninvolved
60 (75.3)
Involved
19 (24.7)
Greater curvature
Uninvolved
70 (88.3)
Involved
9 (11.7)
Antrum
Uninvolved
35 (45.5)
Involved
34 (54.5)
Pylorus
Uninvolved
49 (62.3)
Involved
50 (37.7)
Body
Uninvolved
62 (79.2)
Involved
17 (20.8)
Cardia
Uninvolved
71 (90.9)
Involved
8 (9.1)
Fundus
Uninvolved
73 (92.2)
Involved
6 (7.8)
Anterior wall
Uninvolved
66 (84.4)
Involved
13 (15.6)
Posterior wall
Uninvolved
59 (75.3)
Involved
20 (24.7)
Circumferential
Uninvolved
66 (83.1)
Involved
13 (16.9)
Table 3 Pathological characteristics
Gross appearance
Percentage
Configuration
Ulcerative
56.00
Infiltrative
22.70
Exophytic
21.30
n
75
Gross location
Proximal
Uninvolved
88.20
Involved
11.80
n
76
Distal
Uninvolved
84.20
Involved
15.80
n
76
Histological appearance
Intestinal
No
42.60
Yes
57.40
n
68
Differentiation
Poor
43.40
Moderate
50.90
Well
5.70
n
53
Grade
Low
43.20
Moderate
32.40
High
24.30
Maximum extent of invasion through stomach wall
Mucosa
Involved
100.00
n
78
Muscularis propria
Uninvolved
3.80
Involved
96.20
n
78
Sub–Serosa
Uninvolved
9.00
Involved
91.00
n
78
Serosa
Uninvolved
13.30
Involved
86.70
Histological appearance
Venous infiltration
Absent
51.90
Present
48.10
n
52
Perineural infiltration
Absent
40.00
Present
60.00
n
35
H. Pylori
Absent
80.50
Present
19.50
n
77
Chronic active gastritis
Absent
96.20
Present
3.80
n
78
Chronic gastritis
Absent
59.00
Present
41.00
n
78
Chronic multifocal Atrophic gastritis
Absent
70.50
Present
29.50
n
78
Table 4 Logrank test of survival functions
Variable
P value
Gender
0.9688
Number of gastrectomies previously performed
0.6725
Lesser curvature
0.9716
Greater curvature
0.7928
Antrum
0.2613
Pylorus
0.2486
Body
0.2581
Cardia
0.0577
Fundus
0.9704
Anterior wall
0.3977
Posterior wall
0.9507
Circumferential
0.0370
Diffuse
0.9389
Intestinal
0.6020
Grade
0.2436
Configuration
0.2598
Differentiation
0.2416
Table 5 Single predictor cox regression models
Predictor
HR
P value
95%CI
Cardia
Involved vs uninvolved
2.685
0.069
0.927
7.779
Circumferential
Involved vs uninvolved
2.424
0.044
1.025
5.732
Venous infiltration
Present vs absent
2.502
0.055
0.98
6.384
Age
1.007
0.643
0.978
1.037
Size
0.992
0.897
0.877
1.122
Positive lymph nodes
1.059
0.118
0.986
1.137
Total lymph nodes removed
0.981
0.603
0.911
1.055
Type of surgery
Total gastrectomy vs subtotal gastrectomy
1.45
0.417
0.591
3.553
Presence of Helicobacter pylori
0.456
0.198
0.138
1.508
Citation: Roberts PO, Plummer J, Leake PA, Scott S, Souza TG, Johnson A, Gibson TN, Hanchard B, Reid M. Pathological factors affecting gastric adenocarcinoma survival in a Caribbean population from 2000-2010. World J Gastrointest Surg 2014; 6(6): 94-100