Characteristics of gastric cancer in the aged

  • Matija Horzic
  • Mario Kopljar
  • Kristijan Cupurdija
Keywords: gastric neoplasms, surgery, age, metastases


Lymphatic metastases represent one of the most important factors influencing survival in patients with gastric cancer. According to the 5th revision of the international staging of gastric cancer brought in 1997, for accurate determination of nodal status at least 16 nodes need to be examined. It is known that the number and size of lymph nodes depend on anatomical region as well as constitutional characteristics of patients, especially age. However, it is not known if there is association between patient age and the number and status of lymph nodes that are harvested and examined using standard techniques and possible influence on tumor staging. This study comprised 40 patients with gastric adenocarcinoma in whom potentially curative resection was performed between 2000 and 2003. Results of this study show that the number of harvested lymph nodes is greater in patients 65 years of age and younger (16.6. lymph nodes on average) compared to patients older than 65 years (14.2 lymph nodes on average). There was statistically significant correlation between patient age and lymph node size. Results of this study indicate the need for attention when determining nodal status of patients with gastric cancer.


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Horzic M, Kopljar M, Cupurdija K. Characteristics of gastric cancer in the aged. Acta Chir. Croat. [Internet]. 2005Dec.1 [cited 2021Dec.7];2(1):9-13. Available from:

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