Comparison of the conventional method of lymph node staging with a comprehensive fat‐clearing method for gastric adenocarcinoma Journal Article


Authors: Candela, F. C.; Urmacher, C.; Brennan, M. F.
Article Title: Comparison of the conventional method of lymph node staging with a comprehensive fat‐clearing method for gastric adenocarcinoma
Abstract: Discrepant results in long‐term survival between United States and Japanese patients with resectable gastric adenocarcinoma may result from more accurate staging in the Japanese series. The authors compared a comprehensive fat‐clearing method with the conventional pathology method of lymph node sampling in 11 patients undergoing curative gastrectomy and extended lymphadenectomy at their institution. Comprehensive fat‐clearing doubled total lymph node counts (P < 0.01), identified smaller lymph nodes (P < 0.001), and identified more histologically involved nodes of significantly smaller size (P < 0.001). Comprehensive fat‐clearing pathologically upstaged 29% of the authors' eligible specimens. Accurate pathologic staging is necessary when comparing Japanese and United States survival data for resectable gastric adenocarcinomas. Copyright © 1990 American Cancer Society
Keywords: clinical article; human cell; united states; comparative study; cancer staging; methodology; lymph node metastasis; lymphatic metastasis; neoplasm staging; adenocarcinoma; histology; stomach carcinoma; japan; stomach neoplasms; human; priority journal; article; support, non-u.s. gov't
Journal Title: Cancer
Volume: 66
Issue: 8
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1990-10-15
Start Page: 1828
End Page: 1832
Language: English
DOI: 10.1002/1097-0142(19901015)66:8<1828::Aid-cncr2820660830>3.0.Co;2-z
PUBMED: 2208038
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 January 2020 -- Source: Scopus
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  1. Murray F Brennan
    1059 Brennan