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Incidence of lymph node metastasis at each station in Siewert types Ⅱ/Ⅲ adenocarcinoma of the esophagogastric junction: A systematic review and meta-analysis

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机构: [a]Department of Gastrointestinal Surgery, Sichuan Cancer Hospital, Chengdu, Sichuan Province [b]School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province [c]The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan Province
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关键词: Adenocarcinoma of the esophagogastric junction Lymph node metastasis Lymphadenectomy Meta-analysis Siewert classification Systematic review

摘要:
The optimal extent of lymphadenectomy for adenocarcinoma of the esophagogastric junction (AEG) has been continuously debatable. The study aimed to determine the incidence of lymph node metastasis at each station in Siewert types Ⅱ/Ⅲ AEG. PubMed was searched and publications reporting metastasis at each nodal station were eligible. Meta-analysis was performed using RevMan 5.3. Twenty-one studies involving 4662 patients were included. The incidence of lymph node metastasis was high (≥20%) in stations No. 3, 1, 2 and 7 in decreasing order, and moderate (10–20%) in stations No. 9, 19 and 110. The incidence did not exceed 10% in stations No. 10, 11p, 20, 8a, 4sa, 4 s b and 4d, was less than 5% in stations No. 5, 6, 11d, 12a, and even close to 0 in stations No. 107, 111 and 112. Compared with type Ⅲ tumors, type Ⅱ tumors had significantly lower incidence in some abdominal stations including No. 3, 4sa, 4 s b, 6, 8a and 10, while significantly higher in the lower mediastinal stations. The present analysis established a map of lymph node metastasis in Siewert types Ⅱ/Ⅲ AEG, which may serve as a valuable reference for the extent of lymphadenectomy. © 2020 Elsevier Ltd

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基金编号: K4002

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 外科
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出版当年[2020]版:
Q2 SURGERY Q3 ONCOLOGY
最新[2023]版:
Q2 SURGERY Q3 ONCOLOGY

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第一作者机构: [a]Department of Gastrointestinal Surgery, Sichuan Cancer Hospital, Chengdu, Sichuan Province [b]School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province [*1]Department of Gastrointestinal Surgery, Sichuan Cancer Hospital No. 55, Section 4, South Renmin Road, Chengdu, 610041, Sichuan Province, China
通讯作者:
通讯机构: [a]Department of Gastrointestinal Surgery, Sichuan Cancer Hospital, Chengdu, Sichuan Province [b]School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province [*1]Department of Gastrointestinal Surgery, Sichuan Cancer Hospital No. 55, Section 4, South Renmin Road, Chengdu, 610041, Sichuan Province, China
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