摘要
AIM： To investigate the distribution pathway of metastatic lymph nodes in gastric carcinoma as a foundation for rational lymphadenectomy. METHODS： We investigated 173 cases with solitary or single station metastatic lymph nodes （LN） from among 2476 gastric carcinoma patients. The location of metastatic LN, histological type and growth patterns were analyzed retrospectively. RESULTS： Of 88 solitary node metastases cases, 65 were limited to perigastric nodes （N1）, while 23 showed skipping metastasis. Among 8 tumors in the upper third stomach, 3 involved right paracardial LN （station number： No.1）, and one in the greater curvature was found in No.1. In the 28 middle third stomach tumors, 10 were found in LN of the lesser curvature （No.3） and 6 in LN of the left gastric artery （No.7）; 5 of the 20 cases on the lesser curvature spread to No.7, while 2 of the 8 on the greater curvature metastasized to LN of the spleen hilum （No.10）. Of 52 lower third stomach tumors, 13 involved in No.3 and 19 were detected in inferior pyloric LN （No.6）; 9 of the 29 cases along the lesser curvature were involved in No.6. CONCLUSION： Transversal and skipping metastases of sentinel lymph nodes （SLN） are notable, and rational lymphadenectomy should, therefore, be performed.
瞄准：为合理淋巴腺切除术作为一个基础在胃的癌调查变形淋巴节点的分发小径。方法：我们与独居或单个的车站调查了 173 个案例从 2476 个胃的癌病人之中的变形淋巴节点(行) 。变形的行，组织学的类型和生长模式的地点回顾地被分析。结果：88 个独居的节点转移案例， 65 被限制到仙子胃的节点(N1 ) ，当 23 出现了跳过转移时。在 8 个肿瘤在之中上面第三个胃， 3 深奥正确 paracardial 行(车站数字：No.1 ) ，并且在更大的弯曲的在 No.1 被发现。在 28 中间第三个胃肿瘤， 10 在更小的弯曲(No.3 ) 的行被发现并且 6 在左胃的动脉(No.7 ) 的行；更小的弯曲上的 20 个案例中的 5 个传播了到 No.7，当 8 中的 2 个在更大的弯曲上转移了到怒气核(No.10 ) 的行时。52 降低第三个胃肿瘤， 13 在 No.3 包含了， 19 在劣等的幽门的行(No.6 ) 被检测；沿着更小的弯曲的 29 个案例中的 9 个涉及 No.6。结论：哨兵淋巴节点(SLN ) 的横过、跳过的转移是名人，并且因此，合理淋巴腺切除术应该被执行。
基金
Supported in part by the Gastric Cancer Laboratory of Chinese Medical University
