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Predicting postoperative peritoneal metastasis in gastric cancer with serosal invasion using a collagen nomogram

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机构: [1]Department of General Surgery, Nanfang Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China [2]School ofScience, Jimei University, Xiamen 361021 Fujian, China [3]Department of Hepatobiliary and Pancreatic Surgery, Guangdong Provincial Hospital of TraditionalChinese Medicine, The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, China [4]Department ofPathology, Fujian Medical University Cancer Hospital and Fujian Cancer Hospital, Fuzhou 350014, China [5]Precision Medicine Center, Fujian ProvincialCancer Hospital, Fuzhou 350014, China [6]Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China [7]Department of Radiology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China [8]Key Laboratory of OptoElectronic Science and Technologyfor Medicine of Ministry of Education, Fujian Normal University, Fuzhou 350007, China [9]Department of Oncological Surgery, The Second Affiliated Hospitalof Fujian Medical University, Quanzhou 362000, China
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Accurate prediction of peritoneal metastasis for gastric cancer (GC) with serosal invasion is crucial in clinic. The presence of collagen in the tumour microenvironment affects the metastasis of cancer cells. Herein, we propose a collagen signature, which is composed of multiple collagen features in the tumour microenvironment of the serosa derived from multiphoton imaging, to describe the extent of collagen alterations. We find that a high collagen signature is significantly associated with a high risk of peritoneal metastasis (P < 0.001). A competing-risk nomogram including the collagen signature, tumour size, tumour differentiation status and lymph node metastasis is constructed. The nomogram demonstrates satisfactory discrimination and calibration. Thus, the collagen signature in the tumour microenvironment of the gastric serosa is associated with peritoneal metastasis in GC with serosal invasion, and the nomogram can be conveniently used to individually predict the risk of peritoneal metastasis in GC with serosal invasion after radical surgery. © 2021, The Author(s).

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大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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Q1 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Department of General Surgery, Nanfang Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China [2]School ofScience, Jimei University, Xiamen 361021 Fujian, China
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通讯机构: [1]Department of General Surgery, Nanfang Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China [4]Department ofPathology, Fujian Medical University Cancer Hospital and Fujian Cancer Hospital, Fuzhou 350014, China [5]Precision Medicine Center, Fujian ProvincialCancer Hospital, Fuzhou 350014, China
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