Table 1 Risk factors of lymph node metastasis in early (pT1) gastric cardiac carcinoma
Clinicopathologic factor | Lymph node metastasis (%) | p value | |||
|---|---|---|---|---|---|
Total number | Present | Absent | |||
Number | 495 | 33 (6.7) | 462 (93.3) | ||
Gender | Male | 374 (75.6) | 24 (72.7) | 350 (75.8) | NS |
Female | 121 (24.4) | 9 (27.3) | 112 (24.2) | ||
M/F ratio | 3.1 | 2.7 | 3.1 | NS | |
Age (Year) | Average (SD) | 65.4 (8) | 64.5 (9.5) | 65.4 (7.9) | NS |
≤ 49 | 17 (3.4) | 1 (3) | 16 (3.5) | NS | |
50–59 | 88 (17.8) | 9 (27.3) | 79 (17.1) | NS | |
60–69 | 231 (46.7) | 13 (39.4) | 218 (47.2) | NS | |
≥ 70 | 159 (32.1) | 10 (30.3) | 149 (32.3) | NS | |
< 60 | 105 (21.2) | 10 (30.3) | 95 (20.6) | NS | |
≥ 60 | 390 (78.8) | 23 (69.7) | 367 (79.4) | ||
Macroscopic feature | 0–I | 45 (9.1) | 2 (6.1) | 43 (9.3) | NS |
0–IIa | 95 (19.2) | 8 (24.2) | 87 (18.8) | NS | |
0–IIb | 136 (27.5) | 8 (24.2) | 128 (27.7) | NS | |
0–IIc | 138 (27.9) | 10 (30.3) | 128 (27.7) | NS | |
0–III | 81 (16.4) | 5 (15.2) | 76 (16.5) | NS | |
0–I to 0–IIa | 140 (28.3) | 10 (30.3) | 130 (28.1) | NS | |
0–IIb | 136 (27.5) | 8 (24.2) | 128 (27.7) | NS | |
0–IIc + 0–III | 219 (44.2) | 15 (45.5) | 204 (44.2) | NS | |
Size (cm) | ≤ 0.9 | 76 (15.4) | 1 (3) | 75 (16.2) | < 0.05 |
1.0–1.9 | 159 (32.1) | 7 (21.2) | 152 (32.9) | NS | |
2.0–2.9 | 159 (32.1) | 9 (27.3) | 150 (32.5) | NS | |
> 3.0 | 101 (20.4) | 16 (48.5) | 85 (18.4) | < 0.0001 | |
Invasion depth | M2 | 63 (12.7) | 0 | 63 (13.6) | < 0.05 |
M3 | 130 (26.3) | 0 | 130 (28.1) | < 0.0001 | |
SM1 | 115 (23.2) | 10 (30.3) | 105 (22.7) | NS | |
SM2 | 187 (37.8) | 23 (69.7) | 164 (35.5) | < 0.0001 | |
Histology type | Tubular adenocarcinoma | 326 (65.9) | 18 (54.5) | 308 (66.7) | NS |
Papillary adenocarcinoma | 106 (21.4) | 8 (24.2) | 98 (21.2) | NS | |
Poorly cohesive carcinoma | 11 (2.2) | 2 (6.1) | 9 (1.9) | NS | |
Mucinous carcinoma | 7 (1.4) | 1 (3) | 6 (1.3) | NS | |
Micropapillary adenocarcinomaa | 11 (2.2) | 1 (3) | 10 (2.2) | NS | |
Mixed PCC and tubular/papillary adenocarcinoma | 21 (4.2) | 4 (12.1) | 17 (3.7) | < 0.05 | |
Mixed mucinous and tubular/papillary adenocarcinoma | 14 (2.8) | 0 | 14 (3) | NS | |
Neuroendocrine (N = 4) medullary (N = 4), adenosquamous (N = 2) carcinoma | 10 (2) | 0 | 10 (2.2) | NS | |
Differentiation | Well | 158 (31.9) | 2 (6.1) | 156 (33.8) | < 0.0001 |
Moderate | 226 (45.7) | 15 (45.5) | 211 (45.7) | NS | |
Poorly | 111 (24.4) | 16 (48.5) | 95 (20.6) | < 0.0001 | |
Lymphovascular invasion | Absence | 440 (88.9) | 17 (51.5) | 423 (91.6) | < 0.00001 |
Presence | 55 (11.1) | 16 (48.5) | 39 (8.4) | ||
Perineural invasion | Absence | 483 (97.6) | 31 (93.9) | 452 (97.8) | NS |
Presence | 12 (2.4) | 2 (6.1) | 10 (2.2) | ||