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Prognostic significance of mucinous component in gastric adenocarcinoma after radical D2 gastrectomy

Authors Cai L, Li Y, Yang X, Lian X, Guo M, Xiao S, Wang W, Zhang H

Received 26 September 2017

Accepted for publication 16 January 2018

Published 23 February 2018 Volume 2018:11 Pages 967—973


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Ingrid Espinoza

Lei Cai,1 Yan Li,2 Xue-wen Yang,1 Xiao Lian,1 Man Guo,1 Shu-ao Xiao,1 Wen-bin Wang,1 Hong-wei Zhang1

1Division of Digestive Surgery, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, 2Department of Anesthesiology, Northwest Women’s and Children’s Hospital, Xi’an, China

Background: The mucinous component is a special histologic factor in gastric adenocarcinoma. The aim of this study was to assess the prognostic significance of mucinous component in gastric adenocarcinoma according to proportion.
Patients and methods: Candidate patients with gastric adenocarcinoma were given radical D2 gastrectomies from September 2008 to May 2015 in our division. Clinicopathologic data and prognosis were monitored and analyzed among gastric adenocarcinoma patients with various proportions of mucinous component.
Results: A total of 690 gastric adenocarcinomas with various proportions of mucinous component from 6,025 gastric adenocarcinoma patients were included. Higher numbers of patients with mucinous component came from: young patients, females, those with drinking history, at lower locations, Borrmann type III and IV, T4 stage, and positive for dissected lymph nodes. Tumors and pathological molecular markers showed more positivity in CEA, CA19-9, S100, and CD34. As the various proportions increased, more mucinous component seemed to be accompanied by more Borrmann type III and IV, T4 stage, and more positive expression of CEA and CA19-9. However, no significant difference in 5-year overall survival rate was observed among various proportions or existence of mucinous component. Also, proportion or existence of mucinous component was not an independent prognostic factor in multivariate analysis.
Conclusion: Mucinous component was not a prognostic factor for gastric adenocarcinoma after radical D2 gastrectomy, no matter what proportion the component comprised. However, gastric adenocarcinoma with mucinous component showed specific clinicopathological characteristics, such as more advanced tumor stage, different age and sex, and more positive rate of molecular markers, which might provide a new strategy for optimal individual diagnosis and therapies.

Keywords: mucinous component, mucinous gastric carcinoma, gastric adenocarcinoma with mucinous component, pure gastric adenocarcinoma, radical D2 gastrectomy, prognosis

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