Alternative staging of regional lymph nodes in gastric cancer

2016
journal article
review article
9
dc.abstract.enThe TNM pN stage based on the number of metastatic lymph nodes is an independent prognostic factor in gastric cancer. Many studies have highlighted the phenomenon of stage migration and problems in comparing groups of patients with different numbers of total lymph nodes harvested within TNM staging. The current version of UICC/AJCC and JGCA TNM classifications postulates a minimal number of 16 lymph nodes as the base for N stage determination. Alternative systems such as lymph node ratio (LNR), positive to negative lymph node ratio (PNLNR), and LOGODDS (or LODDS), were implemented to increase the quality of LN assessment. These methods have reached the background in the literature, but to date no standard approach according to the cut-offs for the stages has been implemented. LOGODDS is the method that most reflects the number of harvested lymph nodes. The rationale for alternative staging methods, their correlations, and limitations are presented.pl
dc.affiliationWydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznejpl
dc.cm.date2020-01-07
dc.cm.id78945
dc.contributor.authorSzczepanik, Antoni - 133565 pl
dc.contributor.authorPaszko, Agata - 358380 pl
dc.contributor.authorSzura, Mirosław - 133606 pl
dc.contributor.authorScully-Horner, Theclapl
dc.contributor.authorKulig, Jan - 130535 pl
dc.date.accessioned2020-01-17T09:10:21Z
dc.date.available2020-01-17T09:10:21Z
dc.date.issued2016pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number3pl
dc.description.physical145-149pl
dc.description.points14pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume11pl
dc.identifier.doi10.5114/pg.2016.61492pl
dc.identifier.eissn1897-4317
dc.identifier.issn1895-5770pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/138626
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.engastric cancerpl
dc.subject.enlymphadenectomypl
dc.subject.enlymph node stagingpl
dc.subtypeReviewArticlepl
dc.titleAlternative staging of regional lymph nodes in gastric cancerpl
dc.title.journalPrzegląd Gastroenterologicznypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
The TNM pN stage based on the number of metastatic lymph nodes is an independent prognostic factor in gastric cancer. Many studies have highlighted the phenomenon of stage migration and problems in comparing groups of patients with different numbers of total lymph nodes harvested within TNM staging. The current version of UICC/AJCC and JGCA TNM classifications postulates a minimal number of 16 lymph nodes as the base for N stage determination. Alternative systems such as lymph node ratio (LNR), positive to negative lymph node ratio (PNLNR), and LOGODDS (or LODDS), were implemented to increase the quality of LN assessment. These methods have reached the background in the literature, but to date no standard approach according to the cut-offs for the stages has been implemented. LOGODDS is the method that most reflects the number of harvested lymph nodes. The rationale for alternative staging methods, their correlations, and limitations are presented.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej
dc.cm.date
2020-01-07
dc.cm.id
78945
dc.contributor.authorpl
Szczepanik, Antoni - 133565
dc.contributor.authorpl
Paszko, Agata - 358380
dc.contributor.authorpl
Szura, Mirosław - 133606
dc.contributor.authorpl
Scully-Horner, Thecla
dc.contributor.authorpl
Kulig, Jan - 130535
dc.date.accessioned
2020-01-17T09:10:21Z
dc.date.available
2020-01-17T09:10:21Z
dc.date.issuedpl
2016
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
3
dc.description.physicalpl
145-149
dc.description.pointspl
14
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
11
dc.identifier.doipl
10.5114/pg.2016.61492
dc.identifier.eissn
1897-4317
dc.identifier.issnpl
1895-5770
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/138626
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
gastric cancer
dc.subject.enpl
lymphadenectomy
dc.subject.enpl
lymph node staging
dc.subtypepl
ReviewArticle
dc.titlepl
Alternative staging of regional lymph nodes in gastric cancer
dc.title.journalpl
Przegląd Gastroenterologiczny
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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