Analysis of prognostic factors in 92 patients with Siewert Ⅱ and Ⅲ type of cardia cancer
ZHANG Yue?an
LI Xiaoping
LIU Yisheng
ZHU Zhengkui
CHEN Youjun
WU Qichen
CHEN Wu
BAO Fang
Abstract：Objective To explore the prognostic factors in 92 patients with SiewertⅡandⅢtype of cardia cancer. Methods Ninety-two patients with Siewert Ⅱ and Ⅲ type of cardia cancer admitted by our hospital from April 2000 to April 2012 were en-rolled. The clinical data were collected and the patients were followed up for the 5-year survival rate and median overall survival( OS) . The univariate analysis and Cox regression hazard model analysis were used to analyze the factors affecting the prognosis for SiewertⅡandⅢtype of cardia cancer. Results At the end of the follow-up period( September 1, 2012) , 53 out of 92 patients died with the 5-year survival rate of 27?4% and the median OS of 36?0 months. There were significant differences on 5-year survival rates between dif-ferent Siewert type, T stage, N stage and UICC staging(P<0?05). The 5-year survival rates were unrelated to age, histopathology, Lauren type, lymph node dissection and surgical approach. T stage and N stage were independent factors affecting the prognosis for Siewert Ⅱ,Ⅲtype of cardia cancer. Conclusion T stage and N stage were the independent factors affecting the cardia cancer of gas-troesophageal junction. Siewert type can provide useful information for determining the appropriate surgery.
Keywords：Cardia CancerSiewert typePrognostic factor
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 426-429 )