Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 8

Prognostic significance of poorly differentiated cluster grading system in intestinal type gastric adenocarcinoma

Pages
2022–2030
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

PDC tumor grades were statistically related to; medianmetastatic lymph node counts, metastatic lymph node ratios, lymph node stages (pN) and the presence of perineural invasion.Conclusion: In stomach carcinoma; PDC grading system was found to be related to a significant part of the expected parametersand may have a prognostic value.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Gastric carcinoma is the fourth most common carcinoma worldwide.
📊
Key Findings & Data:We have aimed to investigate this concept in gastric carcinoma.Material and Methods: Our study included 80 cases, consisting of 16 females and 64 males having gastric carcinoma with intestinalmorphology.
💡
Conclusion & Impact:PDC tumor grades were statistically related to; medianmetastatic lymph node counts, metastatic lymph node ratios, lymph node stages (pN) and the presence of perineural invasion.Conclusion: In stomach carcinoma; PDC grading system was found to be related to a significant part of the expected parametersand may have a prognostic value.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Gastric carcinoma is the fourth most common carcinoma worldwide. The relationships established between the tumormorphology and the prognosis have not been very effective until recent times. Poorly Differentiated Clusters (PDCs); are structuresthose can be easily identified in H&E sections. A new grading system based on PDC count has been studied in colorectal carcinoma;and found to be associated with prognosis. We have aimed to investigate this concept in gastric carcinoma.Material and Methods: Our study included 80 cases, consisting of 16 females and 64 males having gastric carcinoma with intestinalmorphology. For each case; conventional grade, PDC grade and prognostic parameters to be applied in the study were determined,and statistically compared.Results: Significant discrepancy was found between the two grading systems. PDC tumor grades were statistically related to; medianmetastatic lymph node counts, metastatic lymph node ratios, lymph node stages (pN) and the presence of perineural invasion.Conclusion: In stomach carcinoma; PDC grading system was found to be related to a significant part of the expected parametersand may have a prognostic value.

🔖

Cite This Article

ŞAMDANCI, E., AKPOLAT, N., GÜRÜNLÜOĞLU, S., ŞAHİN, N., GÖKÇE, H., ARSLAN, A. K. (2022). Prognostic significance of poorly differentiated cluster grading system in intestinal type gastric adenocarcinoma. Annals of Medical Research, Cilt: 27 - Sayı: 8, 2022–2030. https://ajindex.com/articles/446613

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Zhou ZH, Ji CD, Zhu J, et al. The prognostik value and pathobiologic significans of Glasgow microenvironment score in gastric cancer. J Cancer Res Clin Oncol. 2017;143:883-94
  2. McLoughlin JM. Adenocarcinoma of the stomach: a review. Proc (Bayl Univ Med Cent) 2004;17:391–9
  3. Olsen S, Jin L, Fields RC, et al. Tumor budding in intestinal-type gastric adenocarcinoma is associated with nodal metastasis and recurrence. Hum Pathol 2017;68:26-33
  4. Siewert JR, Böttcher K, Stein HJ, et al. Relevant prognostic factors in gastric cancer: ten-year results of the German Gastric Cancer Study. Ann Surg. 1998;228:449-61
  5. Lauwers GY, Carneiro F, Graham DY, et al. WHO classification of tumours of the digestive system. 4th ed. Lyon: IARC Press 2010:45-80
  6. Bonetti LR, Barresi V, Betteli S, et al. Poorly differentiated clusters (PDC) in colorectal cancer: what is and ought to be known. Diagn Pathol 2017;11:31
  7. Barresi V, Bonetti LR, Branca G, et al. Colorectal carcinoma grading by qualifying poorly differentiated clusters is more reproducible and provides more robust information than conventional grading. Virchovs Arch 2012;461:621-8
  8. Dhar DK, Kubota H, Tachibana M, et al. Long-term survival of transmural advanced gastric carcinoma following curative resection: multivariate analysis of prognostic factors. World J Surg 2000;24:588-94
  9. Chandler I, Houlston RS. Interobserver agreement in grading of colorectal cancers-findings from a nationwide web-based survey of histopathologists. Histopathology 2008;52:494-9
  10. Bouliaris K, Rachiotis G, Diamantis A, et al. Lymph node ratio as a prognostic factor in gastric cancer patients following D1 resection. Conparison with the current TNM staging system. EJSO 2017;43:1350-6
  11. Zhu Z, Sun X, Sun Z, et al. Histopathology-based prognostic score is independent prognostic factor of gastric carcinoma. BMC Cancer 2014;11: 663
  12. Carnerio F, Seixas M, Sobrinho-Simoes M. New elements for an updated classification of the carcinomas of the stomach. Pathol Res Pract 1995;191: 571-84
  13. Songun I, van de Velde CJ, Arends JW, et al. Classification of gastric carcinoma using the Goseki system provides prognostic information additional to TNM staging. Cancer 1999;85:2114-8
  14. Gulluoglu M, Yegen G, Ozluk Y, et al. Tumor budding is independently predictive for lymph node involvement in early gastric cancer. Int J Surg Pathol 2015;23:349- 58
  15. Barresi V, Bonetti LR, Ieni A, et al. Poorly differentiated clusters: clinical im