The total number of lymph nodes in resected colon cancer specimens is affected by several factors but the lymph node ratio is independent of these

Apmis ◽  
2013 ◽  
Vol 122 (6) ◽  
pp. 490-498 ◽  
Author(s):  
Luka Stanisavljević ◽  
Karl Søndenaa ◽  
Kristian Eeg Storli ◽  
Sabine Leh ◽  
Idunn Nesvik ◽  
...  
BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ali Riaz Baqar ◽  
Simon Wilkins ◽  
Wei Wang ◽  
Karen Oliva ◽  
Paul McMurrick

2014 ◽  
Vol 99 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Charles Sabbagh ◽  
François Mauvais ◽  
Cyril Cosse ◽  
Lionel Rebibo ◽  
Jean-Paul Joly ◽  
...  

Abstract Lymph node ratio (LNR) (positive lymph nodes/sampled lymph nodes) is predictive of survival in colon cancer. The aim of the present study was to validate the LNR as a prognostic factor and to determine the optimum LNR cutoff for distinguishing between “good prognosis” and “poor prognosis” colon cancer patients. From January 2003 to December 2007, patients with TNM stage III colon cancer operated on with at least of 3 years of follow-up and not lost to follow-up were included in this retrospective study. The two primary endpoints were 3-year overall survival (OS) and disease-free survival (DFS) as a function of the LNR groups and the cutoff. One hundred seventy-eight patients were included. There was no correlation between the LNR group and 3-year OS (P = 0.06) and a significant correlation between the LNR group and 3-year DFS (P = 0.03). The optimal LNR cutoff of 10% was significantly correlated with 3-year OS (P = 0.02) and DFS (P = 0.02). The LNR was not an accurate prognostic factor when fewer than 12 lymph nodes were sampled. Clarification and simplification of the LNR classification are prerequisites for use of this system in randomized control trials. An LNR of 10% appears to be the optimal cutoff.


BMC Surgery ◽  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Manuel O Jakob ◽  
Ulrich Guller ◽  
Alex Ochsner ◽  
Daniel Oertli ◽  
Markus Zuber ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Honghu Wang ◽  
Hao Qi ◽  
Xiaofang Liu ◽  
Ziming Gao ◽  
Iko Hidasa ◽  
...  

AbstractThe staging system of remnant gastric cancer (RGC) has not yet been established, with the current staging being based on the guidelines for primary gastric cancer. Often, surgeries for RGC fail to achieve the > 15 lymph nodes needed for TNM staging. Compared with the pN staging system, lymph node ratio (NR) may be more accurate for RGC staging and prognosis prediction. We retrospectively analyzed the data of 208 patients who underwent R0 gastrectomy with curative intent and who have ≤ 15 retrieved lymph nodes (RLNs) for RGC between 2000 and 2014. The patients were divided into four groups on the basis of the NR cutoffs: rN0: 0; rN1: > 0 and ≤ 1/6; rN2: > 1/6 and ≤ 1/2; and rN3: > 1/2. The 5-year overall survival (OS) rates for rN0, rN1, rN2, and rN3 were 84.3%, 64.7%, 31.5%, and 12.7%, respectively. Multivariable analyses revealed that tumor size (p = 0.005), lymphovascular invasion (p = 0.023), and NR (p < 0.001), but not pN stage (p = 0.682), were independent factors for OS. When the RLN count is ≤ 15, the NR is superior to pN as an important and independent prognostic index of RGC, thus predicting the prognosis of RGC patients more accurately.


Pancreatology ◽  
2017 ◽  
Vol 17 (3) ◽  
pp. S114
Author(s):  
Stefan Kmezic ◽  
Ilija Pejovic ◽  
Andrija Antic ◽  
Vladimir Djordjevic ◽  
Radosava Racic-Arsovic ◽  
...  

Gut ◽  
2006 ◽  
Vol 55 (11) ◽  
pp. 1681-1681 ◽  
Author(s):  
M De Ridder ◽  
V Vinh-Hung ◽  
Y Van Nieuwenhove ◽  
A Hoorens ◽  
A Sermeus ◽  
...  

2013 ◽  
Vol 30 (4-6) ◽  
pp. 368-374 ◽  
Author(s):  
Kiichi Sugimoto ◽  
Kazuhiro Sakamoto ◽  
Yuichi Tomiki ◽  
Michitoshi Goto ◽  
Yutaka Kojima ◽  
...  

2012 ◽  
Vol 93 (5) ◽  
pp. 1614-1620 ◽  
Author(s):  
Chukwumere E. Nwogu ◽  
Adrienne Groman ◽  
Daniel Fahey ◽  
Sai Yendamuri ◽  
Elisabeth Dexter ◽  
...  

2019 ◽  
Vol 15 (2) ◽  
pp. 76-84 ◽  
Author(s):  
Fabiana Tonellotto ◽  
◽  
Anke Bergmann ◽  
Karen de Souza Abrahao ◽  
Suzana Sales de Aguiar ◽  
...  

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