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Factors Associated with Lymph Node Metastasis in Radically Resected Rectal Carcinoids: a Systematic Review and Meta-analysis
Zhou, Xin1; Xie, Haiting1; Xie, Lingduo1; Li, Jing2; Fu, Wei1
关键词Neuroendocrine tumors Lymph node metastasis Rectal
刊名JOURNAL OF GASTROINTESTINAL SURGERY
2013-09-01
DOI10.1007/s11605-013-2249-7
17期:9页:1689-1697
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology ; Surgery
研究领域[WOS]Gastroenterology & Hepatology ; Surgery
关键词[WOS]GASTROINTESTINAL NEUROENDOCRINE TUMORS ; ATYPICAL ENDOSCOPIC FEATURES ; CLINICOPATHOLOGICAL CHARACTERISTICS ; CONSENSUS GUIDELINES ; RISK-FACTORS ; MANAGEMENT ; PROGNOSIS ; CANCER ; NETS
英文摘要

Although various guidelines regarding neuroendocrine tumors were released, treatment for rectal neuroendocrine tumors with size between 1 and 2 cm has not been explicitly elucidated. The determinant factor of the choice between endoscopic resection and radical surgery is whether lymph node involvement exists.

This study aims to explore factors associated with lymph node involvement in rectal neuroendocrine tumors by conducting a meta-analysis.

A broad literature research of Pubmed, Embase&Medline, and The Cochrane Library was performed, and systematic review and meta-analysis about factors associated with lymph node involvement were conducted.

Seven studies were included in this meta-analysis. Tumor size > 1 cm (odds ratio (OR) 6.72, 95 % confidence interval (CI) [3.23, 14.02]), depth of invasion (OR 5.06, 95 % CI [2.30, 11.10]), venous invasion (OR 5.92, 95 % CI [2.21, 15.87]), and central depression (OR 3.00, 95 % CI [1.07, 8.43]) were significantly associated with lymph node involvement.

The available clinical evidence suggests that tumor size > 1 cm, invasion of muscularis properia, venous invasion, and central depression could be risk factors of lymph node involvement, while other factors reported by few studies need further research.

语种英语
WOS记录号WOS:000323668900025
引用统计
被引频次:8[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65037
专题北京大学第三临床医学院_口腔科
北京大学第三临床医学院_普通外科
作者单位1.Peking Univ, Dept Gen Surg, Hosp 3, Beijing 100191, Peoples R China
2.Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hlth Sci Ctr, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Zhou, Xin,Xie, Haiting,Xie, Lingduo,et al. Factors Associated with Lymph Node Metastasis in Radically Resected Rectal Carcinoids: a Systematic Review and Meta-analysis[J]. JOURNAL OF GASTROINTESTINAL SURGERY,2013,17(9):1689-1697.
APA Zhou, Xin,Xie, Haiting,Xie, Lingduo,Li, Jing,&Fu, Wei.(2013).Factors Associated with Lymph Node Metastasis in Radically Resected Rectal Carcinoids: a Systematic Review and Meta-analysis.JOURNAL OF GASTROINTESTINAL SURGERY,17(9),1689-1697.
MLA Zhou, Xin,et al."Factors Associated with Lymph Node Metastasis in Radically Resected Rectal Carcinoids: a Systematic Review and Meta-analysis".JOURNAL OF GASTROINTESTINAL SURGERY 17.9(2013):1689-1697.
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