Predicting recurrence and metastasis of primary esophageal cancer with or without lymph node metastasis

Tajima,Takayuki; Mukai,Masaya; Sato,Shinkichi; Ninomiya,Hiromi; Wakui,Kanako; Komatsu,Nobukazu; Tsuchiya,Kazutoshi; Nakasaki,Hisao; Makuuchi,Hiroyasu

doi:10.3892/or.15.4.809

April 2006 Volume 15 Issue 4

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April 2006 Volume 15 Issue 4

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Article

Predicting recurrence and metastasis of primary esophageal cancer with or without lymph node metastasis

Authors:
- Takayuki Tajima
- Masaya Mukai
- Shinkichi Sato
- Hiromi Ninomiya
- Kanako Wakui
- Nobukazu Komatsu
- Kazutoshi Tsuchiya
- Hisao Nakasaki
- Hiroyasu Makuuchi
View Affiliations / Copyright

Affiliations: Department of Surgery, Tokai University Hospital, Bohseidai, Isehara, Kanagawa 259-1193, Japan. takayukitajima1970@yahoo.co.jp
Pages: 809-814
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Published online on: April 1, 2006

https://doi.org/10.3892/or.15.4.809
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Abstract

We studied 42 patients, consisting of 11 stage I/II patients who were node-negative (LN−) and 31 stage II/III patients who were node-positive (LN+). In the LN− patients, detection of occult neoplastic cells (ONCs) in lymph nodes had a sensitivity of 0.0% (0/5), a false-positive (FP) rate of 33.3% (2/6), a specificity of 66.7% (4/6), a false-negative (FN) rate of 100% (5/5), a positive predictive value (PPV) of 0.0% (0/2), and a negative predictive value (NPV) of 44.4% (4/9). In the LN+ patients, the sensitivity of ONCs was 25.0% (5/20), FP rate was 36.4% (4/11), specificity was 63.6% (7/11), FN rate was 75.0% (15/20), PPV was 55.6% (5/9), and NPV was 31.8% (7/22). In LN− patients, positivity for at least 2 of the 3 high-risk criteria had a sensitivity of 20.0% (1/5), FP rate of 16.7% (1/6), specificity of 83.3% (5/6), FN rate of 80.0% (4/5), PPV of 50.0% (1/2), and NPV of 55.6% (5/9). In LN+ patients, these criteria had a sensitivity of 75.0% (15/20), FP rate of 9.1% (1/11), specificity of 90.9% (10/11), FN rate of 25.0% (5/20), PPV of 93.8% (15/16), and NPV of 66.7% (10/15). These results suggest that the high-risk criteria may be useful for predicting recurrence or metastasis in stage II/III lymph node-positive patients with esophageal cancer.

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Predicting recurrence and metastasis of primary esophageal cancer with or without lymph node metastasis

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