MP胃癌主动脉旁淋巴结皮肤转移的研究

Yusuke Mitsuka, T. Takayama, N. Kubota, S. Yamazaki, R. Okubo, Kazunari Mado, Daijyo Jinno, Makio Kobayashi
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引用次数: 0

摘要

胃癌淋巴结转移有其特定的向区域淋巴结转移的途径。胃癌的跳跃转移定义为存在胃外淋巴结累及而未检测到近端淋巴结转移。跳跃式转移在早期胃癌中很少发现。一名78岁女性因1型心性胃癌入院治疗。在术前诊断工作中,CT提示主动脉旁淋巴结肿大,PET证实。治疗贲门肿瘤行全胃切除加标准D2胃区域淋巴结清扫术,同时行主动脉旁淋巴结清扫术。共切除14个胃周淋巴结。病理检查显示所有切除的胃周围区域淋巴结均未发现转移,而主动脉旁淋巴结发现胃癌转移。根据第14版日本胃癌分类,本病例为T2 (MP), N0, M1 (LYM)。跳跃性转移的解释不同于第14版和以前的分类。我们应该注意这一问题,以比较既往和新发病例的跳跃转移。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Skin Metastasis of Para-Aortic Lymph Node in MP Gastric Cancer
The lymph node metastasis of gastric cancer has its own specific metastatic route to the regional lymph nodes. The skip metastases of gastric cancer defined as the presence of extraperigastric lymph node involvement without the detection of proximal lymph node metastasis. The skip metastasis was rarely found in early stage gastric cancer. A 78-year-old female admitted to treat a Type 1 cardiac gastric cancer. On preoperative diagnostic work up, the paraaortic lymph node swelling were pointed out by CT and it confirmed by PET. The total gastrectomy with standard D2 dissection of regional gastric lymph node was performed to treat the cardiac tumor and paraaortic lymph node sampling was also performed simultaneously. A total of 14 perigastric lymph nodes were dissected. The pathological examination revealed that all of the dis-sected perigastric regional lymph node was negative for metastasis whereas the paraaortic lymph node found a metastasis of the gastric cancer. As the result, present case explained as T2 (MP), N0, M1 (LYM) according to the 14 th edition of Japanese classification gastric carcinoma. The explanation of the skip metastasis is different from the 14 th edition and previous classification. We should be attention about this concern to compare the skip metastasis between previous and new cases.
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