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9/23/2025 6:48:57 AM | Browse: 43 | Download: 30
Publication Name World Journal of Clinical Oncology
Manuscript ID 109711
Country United States
Received
2025-05-19 14:53
Peer-Review Started
2025-05-19 14:53
To Make the First Decision
Return for Revision
2025-06-05 09:38
Revised
2025-06-15 03:12
Second Decision
2025-07-09 02:39
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-07-09 08:05
Articles in Press
2025-07-09 08:05
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-08-28 08:36
Publish the Manuscript Online
2025-09-23 06:48
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Editorial
Article Title Swollen lymph node metastasis in gastric cancer: A forgotten prognostic signal in need of clinical action
Manuscript Source Invited Manuscript
All Author List Keykavous Parang and Amir Nasrolahi Shirazi
ORCID
Author(s) ORCID Number
Keykavous Parang http://orcid.org/0000-0001-8600-0893
Funding Agency and Grant Number
Corresponding Author Keykavous Parang, PharmD, PhD, Tenured Professor, Department of Biomedical and Pharmaceutical Sciences, Department of Biomedical and Pharmaceutical Sciences, School of Pharmacy, Chapman University, No. 9401 Jeronimo Road, Irvine, CA 92618, United States, 9401 Jeronimo Road, Chapman University, School of Pharmacy, Irvine, CA 92618, USA. parang@chapman.edu., Irvine, California 92618, United States. parang@chapman.edu
Key Words Gastric cancer; Lymph node metastasis; Neoadjuvant chemotherapy; Precision oncology; Prognosis; Staging; Swollen lymph node
Core Tip Swollen lymph node metastasis (SLNM), defined by bulky nodal tumor deposits (> 3 cm on imaging or multiple > 1.5 cm nodes) in gastric cancer, confers a dramatically worse outcome. In a large recent cohort, SLNM was independently associated with approximately 50% higher mortality risk. This editorial emphasizes SLNM’s under-recognized prognostic value. Formally incorporating SLNM into gastric cancer staging and treatment algorithms (for example, prioritizing neoadjuvant chemotherapy) may improve risk stratification. Recognizing SLNM as a biomarker can enhance precision oncology approaches by identifying patients for intensified multimodal therapy.
Publish Date 2025-09-23 06:48
Citation <p>Parang K, Shirazi AN. Swollen lymph node metastasis in gastric cancer: A forgotten prognostic signal in need of clinical action. <i>World J Clin Oncol</i> 2025; 16(9): 109711</p>
URL https://www.wjgnet.com/2218-4333/full/v16/i9/109711.htm
DOI https://dx.doi.org/10.5306/wjco.v16.i9.109711
Full Article (PDF) WJCO-16-109711-with-cover.pdf
Manuscript File 109711_Auto_Edited_013037.docx
Answering Reviewers 109711-answering-reviewers.pdf
Audio Core Tip 109711-audio.mp3
Conflict-of-Interest Disclosure Form 109711-conflict-of-interest-statement.pdf
Copyright License Agreement 109711-copyright-assignment.pdf
Peer-review Report 109711-peer-reviews.pdf
Scientific Misconduct Check 109711-scientific-misconduct-check.png
Scientific Editor Work List 109711-scientific-editor-work-list.pdf
CrossCheck Report 109711-crosscheck-report.pdf