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学科主题: 临床医学
题名:
Factors Associated with Lymph Node Metastasis in Radically Resected Rectal Carcinoids: a Systematic Review and Meta-analysis
作者: 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
发表日期: 2013-09-01
DOI: 10.1007/s11605-013-2249-7
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65037
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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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

Recommended Citation:
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.
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