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J.Jpn. Surg. Soc.. 114(1): 13-16, 2013


Feature topic

LYMPH NODE MICROMETASTASES IN GASTRIC CANCER

Gastroenterologic Surgery, Kanazawa University, Kanazawa, Japan

Takashi Fujimura, Tomoya Tsukada, Jun Kinoshita, Katsunobu Oyama, Sachio Fushida, Tetsuo Ohta

Lymph node micrometastases in gastric cancer are based on the definition in the 6th version of the TNM classification of malignant tumours edited by the International Union Against Cancer, which is also quoted in the 14th version of the Japanese Classification of Gastric Carcinoma. Histopathologic examination such as immunohistochemistry and molecular biological techniques including RT-PCR and one-step nucleic acid amplification are used for the detection of micrometastases. Because the time required for such detection is shortened to 30 to 40 min, intraoperative detection is feasible. Many papers have reported the correlation between micrometastases and prognosis in gastric cancer, although whether micrometastases are correlated with poor prognosis even when completely resected remains unknown. Intraoperative detection of micrometastases is important to decide the operative procedure in sentinel node navigation surgery.


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