title: Dissemination of free cancer cells from the gastric lumen and from perigastric lymphovascular pedicles during radical gastric cancer surgery.
abstract: BACKGROUND
  Manipulation and improper handling of a tumor during surgery may increase the risk of cancer cell dissemination after a curative gastrectomy. This study investigated the effect of improper handling of lymphovascular pedicles of stomach on tumor spillage during surgical procedure.
  
  
  METHODS
  Thirty-eight gastric cancer patients were enrolled. Three pairs of wash samples were obtained from each patient: (1) intraperitoneal wash samples obtained before (P0) and after gastrectomy (P1), (2) intragastric wash samples obtained before any manipulation (G0) and just before resection of the stomach (G1), and (3) ex vivo wash samples obtained by rinsing resected stomach with the lymphovascular pedicles closed by clips (S0) or with the pedicles open (S1). Cytologic examination was performed from all washes, and real-time reverse transcriptase-polymerase chain reaction analysis for carcinoembryonic antigen was performed from washes P0, P1, S0, and S1.
  
  
  RESULTS
  Cytologic examination detected cancer cells in 34.2% (13 of 38) of G0 samples and in 39.5% (15 of 38) of G1 samples. The rate of conversion from G0-negative to G1-positive increased as T stage increased. Cytologic examination detected cancer cells in 2.6% (1 of 38) of S0 samples and in 13.2% (5 of 38) of S1 samples. The carcinoembryonic antigen mRNA level of the S1 sample was 2-fold greater than that of the S0 sample in 50.0% (7 of 14).
  
  
  CONCLUSIONS
  Free cancer cells can be released from gastric lumen or lymphovascular pedicles opened during gastric cancer surgery, especially in advanced-stage disease. Care should be taken to minimize spillage from the gastric lumen and lymphovascular pedicles.
authors: Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
authors: Tae-Su
authors: TS
authors: Han
authors: Seong-Ho
authors: SH
authors: Kong
authors: Hyuk-Joon
authors: HJ
authors: Lee
authors: Hye-Seong
authors: HS
authors: Ahn
authors: Keun
authors: K
authors: Hur
authors: Jieun
authors: J
authors: Yu
authors: Woo-Ho
authors: WH
authors: Kim
authors: Han-Kwang
authors: HK
authors: Yang
mesh_terms: D002272:Carcinoembryonic Antigen / Q000032:analysis; D003581:Cytodiagnosis; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007124:Immunoenzyme Techniques; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D009360:Neoplastic Cells, Circulating / Q000378:metabolism / Q000473:pathology*; D010533:Peritoneal Lavage; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery*; D011379:Prognosis; D012333:RNA, Messenger / Q000235:genetics; D020133:Reverse Transcriptase Polymerase Chain Reaction; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D019043:Vascular Neoplasms / Q000556:secondary / Q000601:surgery*
chemical_list: D002272:Carcinoembryonic Antigen; D012333:RNA, Messenger