Copyright
©The Author(s) 2024.
World J Gastrointest Surg. Dec 27, 2024; 16(12): 3720-3728
Published online Dec 27, 2024. doi: 10.4240/wjgs.v16.i12.3720
Published online Dec 27, 2024. doi: 10.4240/wjgs.v16.i12.3720
Table 1 Baseline characteristics, n (%)
| Feature | Value |
| All cases | 210 |
| Age (years), median (years) | (31-91), 65 |
| Sex | |
| Male | 156 (74.3) |
| Female | 54 (25.7) |
| Primary site | |
| Cardia | 18 (8.6) |
| Fundus | 2 (1.0) |
| Body | 41 (19.5) |
| Angle | 21 (10.0) |
| Pylorus | 128 (60.9) |
| Histological differentiation | |
| Well-differentiated adenocarcinoma | 14 (6.7) |
| Moderately differentiated adenocarcinoma | 84 (40.0) |
| Poorly differentiated adenocarcinoma | 66 (31.4) |
| Mucinous adenocarcinoma | 3 (1.4) |
| Signet ring cell carcinoma | 41 (19.5) |
| Papillary adenocarcinoma | 1 (0.5) |
| Lymphoepithelioma-like gastric carcinoma | 1 (0.5) |
| Depth of invasion | |
| Mucosa | 93 (44.3) |
| Submucosa | 117 (55.7) |
| Lymph node metastasis | |
| Metastasis | 27 (12.9) |
| No metastasis | 183 (87.1) |
Table 2 Univariate and multivariate analysis of risk factors for lymph node metastasis in early gastric cancer, n (%)
| Trait | Numerical value | Univariate analysis | Multivariate analysis | ||
| OR (95%CI) | P value | OR (95%CI) | P value | ||
| Age, year | |||||
| ≤ 45 | 7 | 1.00 | - | 1.00 | - |
| 46-65 | 102 | 0.212 (0.043-1.050) | 0.057 | 0.116 (0.011-1.179) | 0.069 |
| > 65 | 101 | 0.147 (0.029-0.750) | 0.021 | 0.049 (0.004-0.549) | 0.014 |
| Sex | |||||
| Male | 156 | 1.00 | - | 1.00 | - |
| Female | 54 | 1.533 (0.644-3.653) | 0.334 | 1.359 (0.437-4.219 | 0.596 |
| Depth of infiltration | |||||
| Infiltrate into the mucosal layer | 93 | 1.00 | - | 1.00 | - |
| Infiltrate into the submucosa | 117 | 7.742 (2.252-26.212) | < 0.001 | 14.346 (2.973-69.234) | < 0.001 |
| Position | |||||
| Preventriculus | 18 | 1.00 | - | 1.00 | - |
| Pylorus | 2 | 0.00 (0.00) | 0.999 | 0.00 (0.00) | 0.999 |
| Gastric body | 41 | 0.486 (0.114-2.078) | 0.330 | 0.405 (0.076-2.167) | 0.291 |
| Gastric angle | 21 | 0.175 (0.018-1.737) | 0.137 | 0.206 (0.017-2.496) | 0.214 |
| Sinuses ventriculi | 128 | 0.536 (0.158-1.821) | 0.318 | 0.250 (0.056-1.115) | 0.069 |
| Pathological type | |||||
| Highly differentiated adenocarcinoma | 14 | 1.00 | - | 1.00 | - |
| Moderately differentiated adenocarcinoma | 84 | 170048308.00 (0.00) | 0.999 | 49334064.34 (0.00) | 0.999 |
| Poorly differentiated adenocarcinoma | 66 | 323091785.20 (0.00) | 0.999 | 81279052.88 (0.00) | 0.999 |
| Mucinous adenocarcinoma | 3 | 1.00 (0.00) | 1.00 | 0.89 (0.00 | 1.00 |
| Signet-ring cell carcinoma | 41 | 391626406.30 (0.00) | 0.999 | 122520894.2 (0.00) | 0.999 |
| Tumor size, cm | |||||
| ≤ 2 | 120 | 1.00 | - | 1.00 | - |
| > 2 | 90 | 2.143 (0.941-4.877) | 0.069 | 2.668 (0.984-7.238) | 0.054 |
Table 3 Univariate and multivariate analysis of risk factors for invasion depth in early gastric cancer, n (%)
| Trait | Numerical value | Univariate analysis | Multivariate analysis | ||
| OR (95%CI) | P value | OR (95%CI) | P value | ||
| Age, year | |||||
| ≤ 45 | 7 | 1.00 | - | 1.00 | - |
| 46-65 | 102 | 2.222 (0.412-11.987) | 0.353 | 1.867 (0.294-11.835) | 0.508 |
| > 65 | 101 | 4.926 (0.908-26.725) | 0.065 | 4.812 (0.733-31.586) | 0.102 |
| Sex | |||||
| Male | 156 | 1.00 | - | 1.00 | - |
| Female | 54 | 0.896 (0.481-1.669) | 0.730 | 1.208 (0.560-2.603 | 0.630 |
| Position | |||||
| Preventriculus | 18 | 1.00 | - | 1.00 | - |
| Pylorus | 2 | 1028029445 (0.00) | 0.999 | 1387506094 (0.00) | 0.999 |
| Gastric body | 41 | 0.606 (0.196-1.873) | 0.384 | 0.613 (0.183-2.053) | 0.428 |
| Gastric angle | 21 | 0.392 (0.107-1.428) | 0.156 | 0.472 (0.117-1.898) | 0.290 |
| Sinuses ventriculi | 128 | 0.930 (0.338-2.557) | 0.888 | 1.227 (0.408-3.688) | 0.716 |
| Pathological type | |||||
| Highly differentiated adenocarcinoma | 14 | 1.00 | - | 1.00 | - |
| Moderately differentiated adenocarcinoma | 84 | 7.622 (1.605-36.186) | 0.011 | 9.854 (1.865-52.077) | 0.007 |
| Poorly differentiated adenocarcinoma | 66 | 13.800 (2.825-67.424) | 0.001 | 19.437 (3.534-106.905) | < 0.001 |
| Mucinous adenocarcinoma | 3 | 9692849057 (0.00) | 0.999 | 2.116E+10 (0.00) | 0.999 |
| Signet-ring cell carcinoma | 41 | 4.250 (0.840-21.492) | 0.080 | 8.277 (1.441-46.973) | 0.018 |
| Tumor size, cm | |||||
| ≤ 2 | 120 | 1.00 | - | 1.00 | - |
| > 2 | 90 | 1.727 (0.988-3.019) | 0.055 | 1.677 (0.883-3.187) | 0.114 |
- Citation: Xiang Y, Yao LD. Risk factors for lymph node metastasis and invasion depth in early gastric cancer: Analysis of 210 cases. World J Gastrointest Surg 2024; 16(12): 3720-3728
- URL: https://www.wjgnet.com/1948-9366/full/v16/i12/3720.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i12.3720
