Effects of tumor staging and different therapeutic modes on the survival of the patients with pancreatic cancer
10.3760/cma.j.issn.1674-1935.2018.03.004
- VernacularTitle:肿瘤分期及不同治疗方式对胰腺癌患者生存期的影响
- Author:
Ruijie XIE
1
,
2
;
Linjuan ZENG
;
Guoda LIAN
;
Shaojie CHEN
;
Jiajia LI
;
Yinting CHEN
;
Yanzhu CHEN
;
Li ZHANG
;
Lili WU
;
Jianhua LIU
;
Kaihong HUANG
Author Information
1. 510120广州,中山大学孙逸仙纪念医院消化内科
2. 中山大学附属第一医院MICU
- Keywords:
Pancreatic neoplasms;
Neoplasm staging;
Surgical procedures,operative;
Chemotherapy;
Prognosis
- From:
Chinese Journal of Pancreatology
2018;18(3):159-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors for the survival of the patients with pancreatic cancer.Methods A total of 1 620 patients confirmed as pancreatic cancer admitted in Sun Yat-sen Memorial Hospital affiliated with Sun Yat-sen University,Tumor prevention and treatment center affiliated with Sun Yat-sen University and People's Hospital of Guangdong Province from 2004 to 2016 were retrospectively analyzed,and the effects of TNM staging,surgical treatment,palliative chemotherapy and postoperative assisted chemotherapy on the survival of the patients with pancreatic cancer were examined by life table and Log-rank test.Results The median survival time of all 1 620 cases was 7.15 months.The median survival time of TNM stage Ⅰ,Ⅱ,Ⅲ and Ⅳ was 12.50 months,10.12 months,9.56 months and 5.43 months,and there was statistically significant difference (P =0.001).The median survival time of cases who did not undergo surgery was 6.10 months,which of patients who underwent radical surgery was 13.67 months,and the difference was statistically significant (P =0.001).The median survival time of cases without chemotherapy was 5.55 months,which of patients who underwent palliative chemotherapy was 7.58 months,and the difference was statistically significant (P =0.001).The median survival time of cases with pure radical surgery without chemotherapy was 12.38 months,which of patients who underwent adjuvant chemotherapy was 14.50 months,and the difference was no statistically significant (P =0.561).Conclusions Early diagnosis followed closely by radical surgery is the key to prolong the survival of pancreatic cancer patients.And adjuvant chemotherapy for patients who lose surgery opportunity may improve clinical prognosis to a certain extent.
