Chen GY, Ren P, Gao Z, Yang HM, Jiao Y. Analysis of vascular thrombus and clinicopathological factors in prognosis of gastric cancer: A retrospective cohort study. World J Gastrointest Oncol 2024; 16(8): 3436-3444 [PMID: 39171182 DOI: 10.4251/wjgo.v16.i8.3436]
Corresponding Author of This Article
Yan Jiao, MD, Doctor, Department of Radiology, Jinan Central Hospital, No. 105 Jiefang Road, Lixia District, Jinan 250013, Shandong Province, China. lajiao221717@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
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World J Gastrointest Oncol. Aug 15, 2024; 16(8): 3436-3444 Published online Aug 15, 2024. doi: 10.4251/wjgo.v16.i8.3436
Table 1 Relationship between vascular cancer thrombi and other clinical and pathological factors, n (%)
Clinical pathological factors
Cases
Vascular cancer thrombus
χ2
P value
Negative
Positive
Gender
Male
448
307 (68.5)
141 (31.5)
46
0.83
Female
173
117 (67.6)
56 (32.4)
Age (years)
≤ 60
305
210 (68.9)
95 (31.1)
0.092
0.76
> 60
316
214 (67.7)
102 (32.3)
Degree of differentiation
Well differentiated
131
110 (84.0)
21 (16.0)
18.876
90.0
Poorly differentiated
490
314 (64.1)
176 (35.9)
Tumor diameter (cm)
≤ 4
334
247 (74.0)
87 (26.0)
10.746
< 0.01
> 4
287
177 (61.7)
110 (38.3)
Borrmann typing
Early gastric cancer
143
132 (92.3)
11 (7.7)
56.480
90.0
Type I
25
18 (72.0)
7 (28.0)
Type II
10
9 (90.0)
1 (10.0)
Type III
397
241 (60.7)
156 (39.3)
Type IV
46
24 (52.2)
22 (47.8)
Invasion depth
T1
143
132 (92.3)
11 (7.7)
78.397
< 0.01
T2
103
81 (78.6)
22 (21.4)
T3
19
17 (89.5)
2 (10.5
T4
356
194 (54.5)
162 (45.5)
Number of lymph node metastases
NO
254
212 (83.5)
42 (16.5)
99.640
90.0
N1
120
97 (80.8)
23 (19.2)
N2
119
67 (56.3)
52 (43.7
N3
128
48 (37.5
80 (62.5)
TNM staging
I
195
173 (88.7)
22 (11.3)
83.903
< 0.01
II
134
103 (76.9)
31 (23.1)
III
292
148 (50.7)
144 (49.3)
Number of detected lymph nodes
≥ 16
335
220 (65.7)
115 (34.3)
2.280
0.13
< 16
286
204 (71.3)
82 (28.7)
Table 2 Binary logistic regression analysis of the influencing factors of vascular cancer thrombus
Clinical pathological factors
β
Wald
OR
95%CI
P value
Degree of differentiation
0.770
8.111
2.161
1.272-3.671
< 0.01
Invasion depth
1.254
29.495
3.504
2.229-5.510
< 0.01
Lymph node metastasis
0.731
11.004
2.078
1.349-3.201
< 0.01
Table 3 Trend of influencing factors of vascular thrombus in patients with gastric cancer by χ2 test
Clinical pathological factors
χ2
R
P value
Degree of differentiation
18.845
0.174
< 0.01
Invasion depth
73.914
0.345
< 0.01
Lymph node metastasis
92.693
0.387
< 0.01
Table 4 Multivariate analysis of prognostic factors in 621 postoperative gastric cancer patients
Clinical pathological factors
β
Wald
OR
95%CI
P value
Age > 60 years old
0.268
3.834
1.307
1.000-1.709
< 0.05
Tumor diameter > 4 cm
0.515
12.005
1.673
1.251-2.239
< 0.01
Vascular cancer thrombus positive
0.413
8.561
1.512
1.146-1.994
< 0.01
TNM II stage
1.087
13.431
2.966
1.658-5.305
< 0.01
TNM III stage
1.853
47.009
6.380
3.756-10.836
< 0.01
Citation: Chen GY, Ren P, Gao Z, Yang HM, Jiao Y. Analysis of vascular thrombus and clinicopathological factors in prognosis of gastric cancer: A retrospective cohort study. World J Gastrointest Oncol 2024; 16(8): 3436-3444