ID 112050
Title Alternative
Prognostic factors after pulmonary resection for metastasis of colorectal cancer
大腸癌肺転移切除例の検討
Author
Keywords
Colorectal cancer
Metastatic lung tumor
Pulmonary resection
Content Type
Journal Article
Description
The objective of this study was to evaluate prognostic factors after pulmonary resection for metastasis of colorectal cancer. We retrospectively analyzed the clinicopathological factors and the prognosis of 36patients who received pulmonary resection for metastasis of colorectal cancer. The 5-year overall survival after pulmonary resection was 75.4%, and the 3-year disease free survival after pulmonary resection was 53.5%. There was no significant prognostic factor regarding overall survival after pulmonary resection by multivariate analysis. However, regarding disease-free survival after pulmonary resection, T4 stage colorectal cancer showed significant poorer prognosis by multivariate analysis(p=0.014). Patients who received reoperation for pulmonary recurrence showed better prognosis than patients who did not receive reoperation (p= 0.04). Prognosis after pulmonary resection for metastasis of colorectal cancer is favorable owing to progresses of chemotherapies.
Metastasectomy may not be the primary therapy for patients with pulmonary metastasis from T4 stage colorectal cancer because of their short disease-free survival after metastasectomy. Reoperation for resectable recurrence of pulmonary metastasis may improve overall survival.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
5-6
Start Page
269
End Page
274
Sort Key
269
Published Date
2017-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital