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Purpose: The role of peritoneal washing cytology in determining further treatment strategies after surgery for gastric cancer remains unclear. One reason for this is the fact that optimal procedures to increase the accuracy of predicting peritoneal metastasis have not been established. The aim of this study was to evaluate the efficacy of cytology using samples harvested from two different abdominal cavity sites during gastric cancer surgery.

Materials and Methods: We prospectively recruited 108 patients who were clinically diagnosed with locally advanced gastric cancer (higher than cT1 stage disease). Peritoneal washing fluids were collected from the pouch of Douglas and the subphrenic area. Patients were prospectively followed up for 2 years to determine the recurrence and survival rates.

Results: Thirty-three patients dropped out of the study for various reasons, so 75 patients were included in the final analysis. Seven patients (9.3%) showed positive cytology findings, of whom, three showed peritoneal recurrence. Tumor size was the only factor associated with positive cytology findings (P=0.037). The accuracy and specificity of cytology for predicting peritoneal recurrence were 90.1% and 94.2%, respectively, whereas the sensitivity was 50.0%. The survival rate did not differ between patients with positive cytology findings and those with negative cytology findings (P=0.081).

Conclusions: Peritoneal washing cytology using samples harvested from two different sites in the abdominal cavity was not able to predictperitoneal recurrence or survival in gastric cancer patients. Further studies will be required to determine whether peritoneal washingcytology during gastric cancer surgery is a meaningful procedure.

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기사명 저자명 페이지 원문 목차
Endoscopic Resection for Early Gastric Cancer beyond Absolute Indication with Emphasis on Controversial Issues 이준행, 민양원 pp.7-14

Can Perioperative Chemotherapy for Advanced Gastric Cancer Be Recommended on the Basis of Current Research? A Critical Analysis Katrin Bauer, Franz Porzsolt, Doris Henne-Bruns pp.39-46
Gastric Carcinoma with Bone Marrow Metastasis : A Case Series Ahmet Şiyar Ekinci, Öznur Bal, Tahsin Özatlı, İbrahim Türker, Onur Eşbah, Ayşe Demirci, Burçin Budakoğlu, Ülkü Yalçıntaş Arslan, Emrah Eraslan, Berna Öksüzoğlu pp.54-57
A Rare Case of Primary Squamous Cell Carcinoma of the Stomach and a Review of the 56 Cases Reported in Japan Hideyuki Wakabayashi, Takeshi Matsutani, Itsurou Fujita, Yoshikazu Kanazawa, Tsutomu Nomura, Nobutoshi Hagiwara, Masaru Hosone, Hironori Katayama, Eiji Uchida pp.58-62
Conventional Cytology Is Not Beneficial for Predicting Peritoneal Recurrence after Curative Surgery for Gastric Cancer : Results of a Prospective Clinical Study 허훈, 강기관, 변철수, 김영배, 한상욱, 조용관 pp.23-31
Serial Comparisons of Quality of Life after Distal Subtotal or Total Gastrectomy : What Are the Rational Approaches for Quality of Life Management? 정호영, 박수진, 이승수, 권오경, 유완식 pp.32-38
The Impact of Esophageal Reflux-Induced Symptoms on Quality of Life after Gastrectomy in Patients with Gastric Cancer 최승호, 임민혜, 김종원, 김완식, 김지현, 윤영훈, 박효진 pp.15-22
Imaging of Gastric Cancer Metabolism Using 18 F-FDG PET/CT 윤미진 pp.1-6

Clinical Application of Electrogastrography in Patients with Stomach Cancer Who Undergo Distal Gastrectomy 김용호, 김호연, 박선진 pp.47-53
Mixed Adenoneuroendocrine Gastric Carcinoma : A Case Report and Review of the Literature Giovanni Battista Levi Sandri, Fabio Carboni, Mario Valle, Paolo Visca, Alfredo Garofalo pp.63-66

참고문헌 (31건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Global cancer statistics 네이버 미소장
2 Recurrence following curative resection for gastric carcinoma. 네이버 미소장
3 Current Status and Future Directions in Gastric Cancer with Peritoneal Dissemination 네이버 미소장
4 Systematic review of intraperitoneal chemotherapy for gastric cancer 네이버 미소장
5 A Systematic Review and Meta-analysis of the Randomized Controlled Trials on Adjuvant Intraperitoneal Chemotherapy for Resectable Gastric Cancer 네이버 미소장
6 Evaluation of Carcinoembryonic Antigen mRNA in Living, Necrotic, and Apoptotic Gastric Cancer Cells by Reverse Transcriptase–Polymerase Chain Reaction 네이버 미소장
7 Gastric Cancer Cell Detection in Peritoneal Washing: Cytology Versus RT-PCR for CEA Transcripts 네이버 미소장
8 Prognostic significance of peritoneal washing cytology in Thai patients with gastric adenocarcinoma undergoing curative D2 gastrectomy 네이버 미소장
9 Peritoneal washing cytology: Prognostic value of positive findings in patients with gastric carcinoma undergoing a potentially curative resection 네이버 미소장
10 Japanese classification of gastric carcinoma: 3rd English edition 네이버 미소장
11 Sobin LH, Gospodarowicz MK, Wittekind C, eds. TNM classification of malignant tumors. 7th ed. Hoboken: Wiley-Blackwell, 2009. 미소장
12 Leake PA, Cardoso R, Seevaratnam R, Lourenco L, Helyer L, Mahar A, et al. A systematic review of the accuracy and utility of peritoneal cytology in patients with gastric cancer. Gastric Cancer 2012;15 Suppl 1:S27-S37. 미소장
13 Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 2011;14:113-123. 미소장
14 Bernard N. Pleural, peritoneal and pericardial effusion. In:Bibbo M, ed. Comprehensive Cytopatholgy. 3rd ed. Philadelphia:Saunders, 2008:549-552. 미소장
15 Prognostic value of positive cytology findings from abdominal washings in patients with gastric cancer. 네이버 미소장
16 Curative resection of gastric cancer: limitation of peritoneal lavage cytology in predicting the outcome. 네이버 미소장
17 Prognostic significance of serosal invasion and free intraperitoneal cancer cells in gastric cancer. 네이버 미소장
18 Relationship Between Area of Serosal Invasion and Intraperitoneal Free Cancer Cells in Patients with Gastric Cancer 네이버 미소장
19 Quantitative molecular diagnosis of peritoneal lavage fluid for prediction of peritoneal recurrence in gastric cancer. 네이버 미소장
20 Immunocytology improves prognostic impact of peritoneal tumour cell detection compared to conventional cytology in gastric cancer 네이버 미소장
21 Peritoneal cytology in the surgical evaluation of gastric carcinoma. 네이버 미소장
22 Optimal surgical strategy for potentially curable serosa-involved gastric carcinoma with intraperitoneal free cancer cells. 네이버 미소장
23 Peritoneal Cytology Does Not Increase the Prognostic Information Provided by TNM in Gastric Cancer 네이버 미소장
24 Carcinoembryonic antigen mRNA in abdominal cavity as a useful predictor of peritoneal recurrence of gastric cancer with serosal exposure. 네이버 미소장
25 Comparative analysis of intraperitoneal minimal free cancer cells between colorectal and gastric cancer patients using quantitative RT-PCR: possible reason for rare peritoneal recurrence in colorectal cancer 네이버 미소장
26 Prediction of peritoneal micrometastasis by peritoneal lavaged cytology and reverse transcriptase-polymerase chain reaction for matrix metalloproteinase-7 mRNA. 네이버 미소장
27 Clinical significance of CEA-mRNA expression in peritoneal lavage fluid from patients with gastric cancer. 네이버 미소장
28 Adjuvant capecitabine and oxaliplatin for gastric cancer after D2 gastrectomy (CLASSIC): a phase 3 open-label, randomised controlled trial 네이버 미소장
29 Randomized controlled trial of adjuvant uracil–tegafur versus surgery alone for serosa‐negative, locally advanced gastric cancer 네이버 미소장
30 Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine. 네이버 미소장
31 Prospective study of peritoneal recurrence after curative surgery for gastric cancer 네이버 미소장

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