The prognostic factors in 32 patients with metastatic pancreatic tumor
10.3760/cma.j.issn.1007-8118.2013.04.006
- VernacularTitle:32例胰腺转移性肿瘤预后相关因素分析
- Author:
Peng JIN
;
He REN
;
Wei SUN
;
Wen XIN
;
Yong TANG
;
Jihui HAO
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Neoplasm metastasis;
Pathology,surgical;
Prognosis
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(4):263-266
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinicopathological characteristics and the prognostic factors in metastatic pancreatic tumor.Methods The clinical data of 32 patients with metastatic pancreatic tumors were retrospectively analyzed.The survival of the patients were evaluated with the KaplanMeier method.Univariate analysis was done by log-rank test.Results The primary foei of these32 patients included:9 lung cancer,6 renal cell carcinoma,5 gastric cancer,12 others.The median survival was 15.5 months in the radical surgery group (n 8),18 months in the cryosurgery group(n=3),8 months in the group with palliative bypass operation (n=9),6 months in the group with local radiotherapy (n=3),and 5 months in the group without treatment (n=9).Univariable analysis revealed the type of primary tumor,treatment of the primary tumor,interval between diagnosis of primary tumor and pancreatic metastases,localized pancreatic metastasis,and treatment of the metastatic pancreatic tumor were associated with prognosis.Conclusions Metastatic pancreatic tumors are rare.Long term survival can be achieved with pancreatic resection in a highly selected subset of patients according to the type of primary tumor.Therapeutic cryosurgery as a new minimally invasive,targeted and immunologic method needs to be further evaluated.
