[Multivariate prognostic analysis of carcinoma of the gastric cardia and comparative study of different resections].
OBJECTIVE
To evaluate the clinical characteristics and prognostic factors for long-term survival of patients with cancer of gastric cardia.


METHODS
Logistic regression, log-rank test were used to analyze survival and evaluate the results of different resection procedures.


RESULTS
Of the 263 patients, the male to female ratio was 8.4:1, the average age of female patients was younger than that of male patients. Sex, depth of invasion and lymph node involvement were prognostic factors of long-term survival. The extent of gastric resection and lymph node dissection, and pre-operative chemotherapy did not significantly affect survival. Higher frequency of postoperative complications was observed in patients received extended dissections, but did not affect survival. However, for patients in stage III N0-1, extended dissection resulted in longer survival than those received routine radical resection.


CONCLUSIONS
Cancer of the gastric cardia has its own clinical characteristics. The surgical procedures should be adjusted according to the prognostic factors. For relatively early cases, extended dissection is recommanded.
Medical School, Nankai University, Tianjin.
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Wu
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Zhang
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D002299:Cardia; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009361:Neoplasm Invasiveness; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate