Objective: The current surgical treatment guidelines for early proximal gastric cancer(PGC) still lack agreement. Lymphadenectomy of lymph nodes No. 5 and No. 6 is the major difference between total and proximal gastr...Objective: The current surgical treatment guidelines for early proximal gastric cancer(PGC) still lack agreement. Lymphadenectomy of lymph nodes No. 5 and No. 6 is the major difference between total and proximal gastrectomy. We elucidated the appropriate surgical procedure for PGC by investigating the pathological characteristics and prognostic significance of lymph nodes No. 5 and No. 6.Methods: In total, 333 PGC patients who underwent total gastrectomy were enrolled in this study. We investigated their clinicopathological characteristics and the metastatic patterns of the lymph nodes. Patients with metastasis in lymph nodes No. 5 and No. 6 were combined into one group and we compared the difference in survival between those with and without metastasis in lymph nodes No. 5, 6(lymph nodes No. 5 and No. 6 in any group of metastasis) for different subgroups.Results: The metastatic rates for lymph nodes No. 5 and No. 6 in PGC were 9.91% and 16.11%, respectively.The metastatic rate for both lymph nodes No. 5, 6 was 20.42%. Multivariate analysis showed that positive metastasis in lymph node No. 4, depth of invasion, and tumor size were independently correlated with the presence of metastasis in lymph nodes No. 5, 6.Conclusions: When lymph node No. 4 is positive(intraoperative pathology) or tumor size ≥5 cm or T4 stage,lymphadenectomy should be performed for lymph nodes No. 5 and No. 6, and total gastrectomy is recommended.展开更多
No. 6 East tin deposit in the Songshujiao orefield, Gejiu, is characterized by one-stage hydrothermal activity and monotonous country rocks. The authors selected this deposit and used the multivariate statistical anal...No. 6 East tin deposit in the Songshujiao orefield, Gejiu, is characterized by one-stage hydrothermal activity and monotonous country rocks. The authors selected this deposit and used the multivariate statistical analysis to study the types of association of main ore-forming elements at different temperatures and pressures and their distribution in the deposit. On that basis combined with the structural analysis of the deposit, the recto-geochemical features of No.6 East tin deposit have been revealed and the direction and channel of migration of the ore solutions in faults and the deposit have been deduced. This research can appropriately elucidate the control of faults on the migration of ore solutions and the sites where ore solutions are dispersed and accumulated, thus providing the theoretical basis for the prediction of hydrothermal deposits in question.展开更多
文摘Objective: The current surgical treatment guidelines for early proximal gastric cancer(PGC) still lack agreement. Lymphadenectomy of lymph nodes No. 5 and No. 6 is the major difference between total and proximal gastrectomy. We elucidated the appropriate surgical procedure for PGC by investigating the pathological characteristics and prognostic significance of lymph nodes No. 5 and No. 6.Methods: In total, 333 PGC patients who underwent total gastrectomy were enrolled in this study. We investigated their clinicopathological characteristics and the metastatic patterns of the lymph nodes. Patients with metastasis in lymph nodes No. 5 and No. 6 were combined into one group and we compared the difference in survival between those with and without metastasis in lymph nodes No. 5, 6(lymph nodes No. 5 and No. 6 in any group of metastasis) for different subgroups.Results: The metastatic rates for lymph nodes No. 5 and No. 6 in PGC were 9.91% and 16.11%, respectively.The metastatic rate for both lymph nodes No. 5, 6 was 20.42%. Multivariate analysis showed that positive metastasis in lymph node No. 4, depth of invasion, and tumor size were independently correlated with the presence of metastasis in lymph nodes No. 5, 6.Conclusions: When lymph node No. 4 is positive(intraoperative pathology) or tumor size ≥5 cm or T4 stage,lymphadenectomy should be performed for lymph nodes No. 5 and No. 6, and total gastrectomy is recommended.
文摘No. 6 East tin deposit in the Songshujiao orefield, Gejiu, is characterized by one-stage hydrothermal activity and monotonous country rocks. The authors selected this deposit and used the multivariate statistical analysis to study the types of association of main ore-forming elements at different temperatures and pressures and their distribution in the deposit. On that basis combined with the structural analysis of the deposit, the recto-geochemical features of No.6 East tin deposit have been revealed and the direction and channel of migration of the ore solutions in faults and the deposit have been deduced. This research can appropriately elucidate the control of faults on the migration of ore solutions and the sites where ore solutions are dispersed and accumulated, thus providing the theoretical basis for the prediction of hydrothermal deposits in question.
