ID 112050
タイトル別表記
Prognostic factors after pulmonary resection for metastasis of colorectal cancer
大腸癌肺転移切除例の検討
著者
キーワード
Colorectal cancer
Metastatic lung tumor
Pulmonary resection
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
73
5-6
開始ページ
269
終了ページ
274
並び順
269
発行日
2017-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系
病院