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Publication Name World Journal of Gastrointestinal Oncology
Manuscript ID 123261
DOI 10.4251/wjgo.123261
Country China
Category Gastroenterology & Hepatology
Manuscript Type Review
Article Title Lymph node metastasis in early gastric cancer: A review of risk stratification and surgical decision-making
Manuscript Source Unsolicited Manuscript
All Author List Min-Tian Xia, Quan Zhou, He Han, Dong Zhang and Xin Fan
Funding Agency and Grant Number
Funding Agency Grant Number
Jiangsu Commission of Health No. LKZ2023012
Zhenjiang Gastrointestinal Tumor Clinical Key Laboratory No. SS2023011
New Technology and New Programs of Jiangsu University Hospital No. xjs2024201
Science and Technology Planning Project of Zhenjiang City No. SH2025001
Corresponding Author Xin Fan, Chief Physician, Department of Gastrointestinal Surgery, Affiliated Hospital of Jiangsu University, No. 438 Jiefang Road, Jingkou District, Zhenjiang 212000, Jiangsu Province, China. drfanxin@163.com
Key Words Early gastric cancer; Lymph node metastasis; Risk assessment; Imaging diagnosis; Artificial intelligence
Core Tip Lymph node metastasis remains the central factor guiding treatment selection in early gastric cancer, but its prediction before treatment is still unreliable. This review summarizes the biological basis of lymph node metastasis, including epithelial-mesenchymal transition, lymphangiogenesis, and immune regulation, and evaluates current diagnostic approaches such as imaging, sentinel lymph node mapping, biomarkers, and artificial intelligence. The main message is that no single method can exclude lymph node metastasis with sufficient confidence. Integrated risk stratification using clinical, imaging, and molecular information is needed to support individualized treatment decisions in early gastric cancer.
Citation Xia MT, Zhou Q, Han H, Zhang D, Fan X. Lymph node metastasis in early gastric cancer: A review of risk stratification and surgical decision-making. World J Gastrointest Oncol 2026; In press
PDF 123261-in-press.pdf
Received
2026-05-22 11:26
Peer-Review Started
2026-05-22 11:26
First Decision by Editorial Office Director
Return for Revision
2026-06-16 08:09
Revised
2026-06-18 09:32
Publication Fee Transferred
2026-06-24 09:57
Second Decision by Editor
2026-06-30 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-30 05:23
Articles in Press
2026-06-30 05:23
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-5204 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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