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Article ; Online: ASO Author Reflections: A Recurrence Nomogram to Guide Surveillance Strategies After the Resection of Hepatoid Adenocarcinoma of the Stomach.

Lin, Jun-Peng / Lin, Jian-Xian / Zheng, Chao-Hui / Huang, Chang-Ming / Xie, Jian-Wei

2023 Volume 30, Issue 9, Page(s) 5558–5559

MeSH term(s)	Humans ; Nomograms ; Adenocarcinoma/surgery ; Adenocarcinoma/pathology ; Stomach/pathology ; Stomach Neoplasms/surgery ; Stomach Neoplasms/pathology
Language	English
Publishing date	2023-04-17
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-022-12917-y
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Article ; Online: ASO Author Reflections: Radiomic Immunosuppressive Scoring System for Predicting Prognosis and Chemotherapy Benefit in Gastric Cancer.

Lin, Jun-Peng / Lin, Jian-Xian / Weng, Yong / Lv, Chen-Bin / Huang, Chang-Ming

Annals of surgical oncology

2022 Volume 29, Issue 8, Page(s) 5034–5035

MeSH term(s)	Humans ; Prognosis ; Stomach Neoplasms/diagnostic imaging ; Stomach Neoplasms/drug therapy
Language	English
Publishing date	2022-05-11
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-022-11556-7
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Article ; Online: Prediction of the mitotic index and preoperative risk stratification of gastrointestinal stromal tumors with CT radiomic features.

Lin, Jian-Xian / Wang, Fu-Hai / Wang, Zu-Kai / Wang, Jia-Bin / Zheng, Chao-Hui / Li, Ping / Huang, Chang-Ming / Xie, Jian-Wei

La Radiologia medica

2023 Volume 128, Issue 6, Page(s) 644–654

Abstract: Objective: The objective is to develop a mitotic prediction model and preoperative risk stratification nomogram for gastrointestinal stromal tumor (GIST) based on computed tomography (CT) radiomic features.: Methods: A total of 267 GIST patients from ...

Abstract	Objective: The objective is to develop a mitotic prediction model and preoperative risk stratification nomogram for gastrointestinal stromal tumor (GIST) based on computed tomography (CT) radiomic features. Methods: A total of 267 GIST patients from 2009.07 to 2015.09 were retrospectively collected and randomly divided into (6:4) training cohort and validation cohort. The 2D-tumor region of interest was delineated from the portal-phase images on contrast-enhanced (CE)-CT, and radiomic features were extracted. Lasso regression method was used to select valuable features to establish a radiomic model for predicting mitotic index in GIST. Finally, the nomogram of preoperative risk stratification was constructed by combining the radiomic features and clinical risk factors. Results: Four radiomic features closely related to the level of mitosis were obtained, and a mitotic radiomic model was constructed. The area under the curve (AUC) of the radiomics signature model used to predict mitotic levels in training and validation cohorts (training cohort AUC = 0.752; 95% confidence interval [95%CI] 0.674-0.829; validation cohort AUC = 0.764; 95% CI 0.667-0.862). Finally, the preoperative risk stratification nomogram combining radiomic features was equivalent to the clinically recognized gold standard AUC (0.965 vs. 0.983) (p = 0.117). The Cox regression analysis found that the nomogram score was one of the independent risk factors for the long-term prognosis of the patients. Conclusion: Preoperative CT radiomic features can effectively predict the level of mitosis in GIST, and combined with preoperative tumor size, accurate preoperative risk stratification can be performed to guide clinical decision-making and individualized treatment.
MeSH term(s)	Humans ; Gastrointestinal Stromal Tumors/diagnostic imaging ; Gastrointestinal Stromal Tumors/surgery ; Mitotic Index ; Retrospective Studies ; Risk Assessment ; Tomography, X-Ray Computed
Language	English
Publishing date	2023-05-06
Publishing country	Italy
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-023-01637-2
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Article ; Online: Comment on "Clinical and Prognostic Features of Patients With Esophageal Cancer and Multiple Primary Cancers".

Lin, Jian-Xian / Li, Ping / Huang, Chang-Ming

Annals of surgery

2019 Volume 269, Issue 6, Page(s) e75

MeSH term(s)	Carcinoma, Squamous Cell ; Esophageal Neoplasms ; Humans ; Neoplasms, Multiple Primary ; Prognosis ; Retrospective Studies
Language	English
Publishing date	2019-05-16
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	340-2
ISSN	1528-1140 ; 0003-4932
ISSN (online)	1528-1140
ISSN	0003-4932
DOI	10.1097/SLA.0000000000002833
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Article ; Online: Long-term survival outcomes of robotic total gastrectomy for locally advanced proximal gastric cancer: a prospective study.

Zhong, Qing / Tang, Yi-Hui / Liu, Zhi-Yu / Zhang, Zhi-Quan / He, Qi-Chen / Li, Ping / Xie, Jian-Wei / Wang, Jia-Bin / Lin, Jian-Xian / Lu, Jun / Chen, Qi-Yue / Zheng, Chao-Hui / Huang, Chang-Ming

International journal of surgery (London, England)

2024

Abstract: Background: Robotic gastrectomy is a safe and feasible approach for gastric cancer (GC); however, its long-term oncological efficacy remains unclear. We evaluated the long-term survival outcomes and recurrence patterns of patients with locally advanced ... ...

Abstract	Background: Robotic gastrectomy is a safe and feasible approach for gastric cancer (GC); however, its long-term oncological efficacy remains unclear. We evaluated the long-term survival outcomes and recurrence patterns of patients with locally advanced proximal GC who underwent robotic total gastrectomy (RTG). Methods: This prospective study (FUGES-014 study) enrolled 48 patients with locally advanced proximal GC who underwent RTG between March 2018 and February 2020 at a tertiary referral teaching hospital. Patients who underwent laparoscopic total gastrectomy (LTG) in the FUGES-002 study were enrolled in a 2:1 ratio to compare the survival outcomes between RTG and LTG. The primary endpoint of the FUGES-014 study was postoperative 30-day morbidity and has been previously reported. Here we reported the results of 3-year disease-free survival (DFS), 3-year overall survival (OS), and recurrence patterns. Results: After propensity score matching, 48 patients in the RTG and 96 patients in the LTG groups were included. The 3-year DFS rates were 77.1% (95% confidence interval [CI] 66.1-89.9%) for the RTG and 68.8% (95% CI 60.1-78.7%) for the LTG groups ( P =0.261). The 3-year OS rates were not significantly different between the groups (85.4% vs. 74.0%, P =0.122). Recurrence occurred in nine patients (18.8%) in the RTG and 27 (28.1%) patients in the LTG groups ( P =0.234). Recurrence patterns and causes of death were similar between the groups ( P >0.05). Conclusions: The oncological outcome of RTG was non-inferior to that of LTG. Thus, RTG might be an alternative surgical treatment for locally advanced proximal GC.
Language	English
Publishing date	2024-03-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1097/JS9.0000000000001325
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Zs.A 6502: Show issues

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Article ; Online: Correction: Predictive Value of a New Muscle Parameter in Patients with Resectable Gastric Cancer: A Pooled Analysis of Three Prospective Trials.

Zhong, Qing / Huang, Jiao-Bao / Lu, Jun / Xue, Li-Wei / Lin, Guang-Tan / Xie, Jian-Wei / Lin, Jian-Xian / Zheng, Chao-Hui / Huang, Chang-Ming / Li, Ping

Annals of surgical oncology

2024 Volume 31, Issue 5, Page(s) 3042

Language	English
Publishing date	2024-02-15
Publishing country	United States
Document type	Published Erratum
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-024-15069-3
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Article ; Online: Predictive Value of a New Muscle Parameter in Patients with Resectable Gastric Cancer: A Pooled Analysis of Three Prospective Trials.

Zhong, Qing / Huang, Jiao-Bao / Lu, Jun / Xue, Li-Wei / Lin, Guang-Tan / Xie, Jian-Wei / Lin, Jian-Xian / Zheng, Chao-Hui / Huang, Chang-Ming / Li, Ping

Annals of surgical oncology

2024 Volume 31, Issue 5, Page(s) 3005–3016

Abstract: Background: Sarcopenia is closely associated with gastric cancer (GC) prognosis. However, its exact definition remains controversial.: Methods: This study included computed tomography images and clinical data of patients from three prospective ... ...

Abstract	Background: Sarcopenia is closely associated with gastric cancer (GC) prognosis. However, its exact definition remains controversial. Methods: This study included computed tomography images and clinical data of patients from three prospective studies. The skeletal muscle index (SMI) and skeletal muscle radiation attenuation (SMRA) were analyzed, and a new muscle parameter, skeletal muscle gauge (SMG), was obtained by multiplying the two parameters. The values of the three indices for predicting the prognosis of patients with GC were compared. Results: The study included 717 patients. The findings showed median values of 42 cm Conclusion: The prospective large sample data showed that the new muscle parameter, SMG, can effectively predict the short-term outcome and long-term prognosis of patients with resectable gastric cancer. As a new muscle parameter index, SMG is worthy of further study.
MeSH term(s)	Humans ; Prospective Studies ; Stomach Neoplasms ; Muscle, Skeletal/pathology ; Sarcopenia/complications ; Prognosis ; Postoperative Complications/etiology ; Retrospective Studies
Language	English
Publishing date	2024-01-25
Publishing country	United States
Document type	Meta-Analysis ; Journal Article
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-024-14913-w
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Article ; Online: Development and Validation of a Prognostic Model for Postoperative Anastomotic Recurrence in Siewert II or III Adenocarcinomas Without Neoadjuvant Therapy in an East Asian Population.

Huang, Ming-Bin / Xu, Chao / Chen, Hong / Lin, Jian-Xian / Zheng, Chao-Hui / Chen, Qiu-Xian / Lian, Ming-Qiao / Lian, Ming-Jie / Lv, Chen-Bin / Yang, Shao-Bin / Cai, Li-Sheng / Huang, Chang-Ming / Xue, Fang-Qin

Journal of gastrointestinal cancer

2024

Abstract: Purpose: Anastomotic recurrence leads to poor prognosis in patients with Siewert II or III adenocarcinoma who undergo radical gastrectomy and do not receive neoadjuvant therapy. We aimed to establish a prognostic model to evaluate the risk of ... ...

Abstract	Purpose: Anastomotic recurrence leads to poor prognosis in patients with Siewert II or III adenocarcinoma who undergo radical gastrectomy and do not receive neoadjuvant therapy. We aimed to establish a prognostic model to evaluate the risk of postoperative anastomotic recurrence in patients with Siewert II or III adenocarcinoma who did not receive neoadjuvant therapy. Methods: We included 366 patients with Siewert II or III adenocarcinoma who were treated with radical gastrectomy without neoadjuvant therapy at Fujian Provincial Hospital (FPH) between 2012 and 2018 as the development cohort. Cox regression was used to verify prognostic factors for anastomotic recurrence, and a nomogram was established. The nomogram was externally validated using a combined cohort of two external centers. Patients were classified into high- or low-risk groups according to the diagnostic threshold and nomogram scores, and recurrence-related survival analysis was analyzed. Results: The average age was 64.6 years, and 285 patients were male. All surgeries were successfully performed (185 open vs 181 laparoscopic). The 3-year anastomotic recurrence rate was significantly lower in the low-risk group (3.5% vs 18.8%, P < 0.001). The predictive performance was verified in the external validation cohort. This model better stratified patient survival than the American Joint Committee on Cancer (AJCC) TNM staging system. Conclusions: This novel nomogram with surgical margin, postoperative tumor node metastasis (pTNM) stage, and neural invasion as prognostic factors has a significant predictive performance for the risk of anastomotic recurrence after radical gastrectomy in patients with Siewert II or III adenocarcinoma.
Language	English
Publishing date	2024-01-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2452514-5
ISSN	1941-6636 ; 1559-0739 ; 1941-6628 ; 1537-3649
ISSN (online)	1941-6636 ; 1559-0739
ISSN	1941-6628 ; 1537-3649
DOI	10.1007/s12029-023-01002-6
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Article ; Online: Prognostic value of preoperative sarcopenia in gastric cancer: A 10-year follow-up study.

Zheng, Hua-Long / Wei, Ling-Hua / Xu, Bin-Bin / Zheng, Hong-Hong / Xue, Zhen / Chen, Qi-Yue / Xie, Jian-Wei / Zheng, Chao-Hui / Huang, Chang-Ming / Lin, Jian-Xian / Li, Ping

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2024 Volume 50, Issue 3, Page(s) 108004

Abstract: Background: Preoperative sarcopenia is associated with prognosis in patients with gastric cancer (GC); however, studies with 10-year survival follow-up are lacking.: Methods: Consecutive patients with GC who underwent radical gastrectomy between ... ...

Abstract	Background: Preoperative sarcopenia is associated with prognosis in patients with gastric cancer (GC); however, studies with 10-year survival follow-up are lacking. Methods: Consecutive patients with GC who underwent radical gastrectomy between December 2009-2012 were included retrospectively. Preoperative sarcopenia was diagnosed using computed tomography skeletal muscle index. The Kaplan-Meier method estimated overall survival (OS) and relapse-free survival (RFS). Cox proportional hazard regression analysis determined the prognostic factors for OS and RFS. Results: In total, 781 patients with GC were included; among these, 207 (26.5%) had preoperative sarcopenia. Patients with sarcopenia had significantly lower 10-year OS and RFS than patients without sarcopenia (39.61% vs. 58.71% and 39.61% vs. 57.84%, respectively). Further, preoperative sarcopenia was an independent risk factor for 10-year OS (HR = 1.467; 95% confidence interval [CI]: 1.169-1.839) and RFS (HR = 1.450; 95% CI: 1.157-1.819). Patients with sarcopenia had a higher risk of death and recurrence in the first 10 years postoperatively than patients without sarcopenia. Additionally, the risk of death (HR = 2.62; 95% CI:1.581-4.332) and recurrence (HR = 2.34; 95% CI:1.516-3.606) was the highest in the 1st postoperative year and remained relatively stable thereafter. Further, postoperative adjuvant chemotherapy significantly improved 10-year OS (p = 0.006; HR = 0.558) and RFS (p = 0.008; HR = 0.573) in patients with TNM stage II-III GC that presented with sarcopenia. Conclusion: Preoperative sarcopenia remained an independent risk factor for postoperative very long-term prognosis of GC. Postoperative adjuvant chemotherapy improved the long-term outcomes of stage II-III patients with sarcopenia.
MeSH term(s)	Humans ; Prognosis ; Sarcopenia/complications ; Sarcopenia/epidemiology ; Follow-Up Studies ; Retrospective Studies ; Stomach Neoplasms/complications ; Stomach Neoplasms/surgery ; Neoplasm Recurrence, Local/epidemiology ; Neoplasm Recurrence, Local/etiology ; Gastrectomy/adverse effects
Language	English
Publishing date	2024-02-03
Publishing country	England
Document type	Journal Article
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2024.108004
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Zs.A 1149: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Effects of tumor marker regression load score on long-term prognosis of gastric cancer patients undergoing radical surgery after neoadjuvant chemotherapy.

Zhang, Ling-Kang / Zheng, Hua-Long / Zheng, Hong-Hong / Ma, Yu-Bin / Lin, Jian-Xian / Xu, Bin-Bin / Xue, Zhen / Zheng, Zhi-Wei / Zheng, Chao-Hui / Huang, Chang-Ming / Xie, Jian-Wei

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2024 Volume 50, Issue 6, Page(s) 108367

Abstract: Background: The effects of the dynamics of serum tumor markers (CA72-4, CEA, CA19-9, CA125 and AFP) before and after neoadjuvant chemotherapy (NACT) on the prognosis of gastric cancer(GC) patients remain unclear.: Methods: The training set contained ... ...

Abstract	Background: The effects of the dynamics of serum tumor markers (CA72-4, CEA, CA19-9, CA125 and AFP) before and after neoadjuvant chemotherapy (NACT) on the prognosis of gastric cancer(GC) patients remain unclear. Methods: The training set contained 334 GC patients from Fujian Medical University Union Hospital (FJMUUH) and 113 GC patients in Qinghai University Affiliated Hospital (QhUAH) were used as an external validation set. Tumor marker regression load (ΔTMRL) indicator, including ΔCA72-4, ΔCEA, ΔCA19-9, ΔCA125, and ΔAFP, is defined as [(postNACT marker- preNACT marker)/preNACT marker]. Tumor marker regression load score (TMRLS) consists of ΔCA72-4, ΔCEA and ΔCA125. The predictive performance of the nomogram-TMRLS was evaluated using the area under the receiver operating characteristic(ROC) curve(AUC), decision curve analysis(DCA), and C-index. Results: Patients from FJMUUH were divided into two groups, TMRLS-low and TMRLS-high, determined by R package maxstat. Survival analysis revealed a higher 3-year overall survival(OS) in the TMRLS-low than in the TMRLS-high group. The TMRLS-high group who received postoperative adjuvant chemotherapy(AC) showed a significantly higher 3-year OS rate than those who did not. Multivariate COX regression analysis indicated that TMRLS was an independent prognostic factor for OS. A nomogram for predicting OS based on TMRLS showed a significantly higher C-index and AUC than the ypTNM stage. The above results were also found in the QhUAH external validation cohort. Conclusion: TMRLS is a novel independent prognostic factor for GC who underwent NACT and a radical gastrectomy. Furthermore, the TMRLS-high group, who received postoperative AC, may achieve better survival outcomes. Notably, the predictive performance of the nomogram-TMRLS significantly outperformed that of the ypTNM stage.
Language	English
Publishing date	2024-04-25
Publishing country	England
Document type	Journal Article
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2024.108367
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