Characteristics of metastasis and recurrence following curative resection for colonic carcinoma.
- Author:
Dong-bing ZHAO
1
;
Ji-dong GAO
;
Yi SHAN
;
Zhi-xiang ZHOU
;
Xing-hua YUAN
;
Jian-xiong WU
;
Yong-fu SHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Colonic Neoplasms; pathology; surgery; Female; Follow-Up Studies; Humans; Lymphatic Metastasis; diagnosis; Male; Middle Aged; Neoplasm Recurrence, Local; diagnosis; Neoplasm Staging; Postoperative Period; Prognosis; Retrospective Studies
- From: Chinese Journal of Gastrointestinal Surgery 2006;9(4):291-293
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the characteristics of metastasis and recurrence following curative resection for colonic carcinoma,and analyze the prognosis.
METHODSThe clinicopathological and follow-up data of 310 patients with colon carcinoma undergoing curative resection were analyzed retrospectively.
RESULTSThe recurrence rate after curative resection was 23.2% (72/310). The 5-year survival rate was 64.6%. Hepatic metastasis accounted for 38.9% of the cases. Gross classification,histological type, differentiation, lymph node metastasis were correlated with metastasis/recurrence. Univariate analysis revealed that gross classification, histological type, differentiation, lymph node metastasis, blood vessel invasion, TNM Stage, postoperative chemotherapy, portal chemotherapy were prognostic factors. Cox regression analysis revealed that only gross classification, lymph node metastasis, postoperative chemotherapy, portal chemotherapy were independent prognostic factors.
CONCLUSIONSLiver is the most common metastatic site after curative resection for colonic carcinoma. Gross classification, lymph node metastasis, postoperative chemotherapy, and portal chemotherapy are independent prognostic factors.
