期刊文献+

直肠癌术后肺转移72例的临床分析 被引量:1

Clinical analysis of 72 cases of lung metastasis after resection Of rectal cancer
原文传递
导出
摘要 目的:探讨直肠癌根治术后肺转移的治疗效果和影响预后的因素。方法:回顾性分析1978~2008年间的直肠癌根治术后发生单纯性肺转移的72例病例资料。结果:自原发灶切除术后全组病例中位生存时间34个月,行转移灶的切除手术23例,中位生存49个月;其余49例行非手术治疗,中位生存33个月;其中转移瘤大于3个组中位生存时间28个月,转移瘤小于等于3个组中位生存时间41个月。手术患者和转移灶个数少的患者的总生存率较大,总生存率可能和是否手术、转移灶的个数有关,但尚未发现年龄、性别、原发灶病理类型、分期、转移灶大小对生存率有明显影响。结论:直肠癌肺转移灶的手术治疗是安全、有效的。手术及转移灶个数可影响患者生存率。 Objective: This study was to investigate the features, treatments and prognostic factors of patients with lung metastatic diseases after resection of rectal cancer. Methods: Clinical data of 72 patients who suffered lung metastatic diseases after received radical resection of rectal cancer in 1978-2008, were rospectively analyzed. Results: The median survival time after the primary disease opera- tion is 34 months. The median survival time of 23 cases who had received lung operation is 49 months, the nonoperation patients' is 33 months. The median survival time of patients with more than 3 metastatic diseases in the lung is 28 months, the other patients is 43 months. The overall survival time was probably associated with operations of the lung and the number of metastatic diseases, and the oth- er factors were of no significance. Conclusion: The active treatment for lung metastasis after rectal cancer operation is effective. The op- eration and the number of metastasis may be the factors that can influence the patients prognosis.
出处 《现代生物医学进展》 CAS 2009年第15期2887-2888,2931,共3页 Progress in Modern Biomedicine
关键词 直肠癌 肺转移 手术 rectal cancer lung metastasis operation
  • 相关文献

参考文献8

  • 1W indsch ITL H, Scott M, Schutt A, et al. Randomized phase II studies in advanced colorectal carcinoma: a north central cancer treat - ment group study[J]. Cancer Treat Rep, 1983, 67(11) : 1 001.
  • 2周志祥,邵永孚,孟建彬.直肠癌根治术后转移的临床特点[J].中国肿瘤临床,2000,27(11):843-845. 被引量:14
  • 3Hideyuki lke MD, Hiroshi Shimada MD, Shigeo Ohki MD, et al. Result s of Aggressive Resection of Lung Metastases from Colorectal Carcinoma Detected by Intensive Follow Up [J]. Dis Colon Rectum, 2002,45 (4) :468-474.
  • 4Ogata Y, Matono K, Hayash I K, et al. Repeat Pulmonary Resection for Isolated Recurrent Lung Metastases Yields Results Comparableto ThoseafterFirstPulmonaryResectioninColorectalCancer [J]. World J Surg, 2005, 29 (3) : 363.
  • 5Yutaka Ogata MD, Keiko Matono MD, Akihiro HayashiMD ,et al. Repeat Pulmonary Resection for Isolated Recurrent Lung Metastases Yields Result s Comparable to Those after First Pulmonary Resection in Colorectal Cancer[J]. World J. Surg, 2005,29 (3) :363-368.
  • 6BARON O, AM1N IM, DUVEAU D, et al. Surgical resection of pulmonary metastases from colorectal carcinoma[J]. Eur J Cardio-thorac Surg, 1996,10 (6):374.
  • 7Satoshi Shiono MD, Genichiro Ishii MD, Kanji Nagai MD, et al. Histopathologic Prognostic Factors in Resected Colorectal Lung Metastases[J]. Ann Thorac Surg,2005 79 (1) :278-283.
  • 8Pastorino U, McCormack PM, Ginsberg RJ.A newstaging proposal for pulmonary metastases. The results of analysis of 5206 cases of resected pulmonary metastases[J]. Chest Surg Clin N Am, 1998,8 (1) : 197-202.

二级参考文献8

  • 1[1]Robinson BJ,Rice TW,Strong SA,Et al.Is resection of pulmonary and hepatic metastases warranted in patients with colorectal cancer.J Thorac Cardiovasc Surg,1999;177:66
  • 2[2]Nordlinger B,Guiguet M,Vaillant JC.et al. Surgical resection of colorectal carcinoma metastases to the liver.cancer,1996;77:1254
  • 3[3]Ballantyne GH,Quin J.Surgical treatment of liver metastases in patients with colorectal cancer.Cancer,1993;71:4252
  • 4[4]McCormack PM.Burt ME, Bains MS,et al.Lung resection for colorectal metastases.10-year results.Arch Surg, 1992; 127:1403
  • 5[5]Girard P,Ducreux M,Baldeyrou P,et al.Surgery for lung metastases from colorectal cancer:analysis of prognostic factors.J Clin Oncol,1996;14:2047
  • 6[6]Ambiru S,Miyazaki M,Ito H,et al.Resection of hepatic and pulmonary metastases in patients with colorectal carcinoma.Cancer,1998;82:274
  • 7[7]Wagner S,Adson MA,van Heerden JA,et al.The natural history of hepatic metastases from colorectal cancer.Ann Surg,1984;199:502
  • 8[8]Tellez C,Benson AB,Lyster MT,et al.Phase II trial of chemoembolization for the treatment of metastatic colorectal carcinoma to the liver and review of the literature.Cancer,1998;82:1250

共引文献13

同被引文献8

  • 1Riquet M, Foucault C, Cazes A, et al. Pulmonary resection for metastases of coloreetal adenocareinoma[J]. Ann Thorac Surg, 2010, 99(2) :375-390.
  • 2Pfannschmidt J, Bade S, Hoheisel J, et al. Identification of im- munohistochemical prognostic markers for survival after resec- tion of pulmonary metastases from colorectal carcinoma [ J]. Thorac Cardiovasc Surg, 2009, 57(7):403-409.
  • 3Pfannschmidt J, Dienemann H, Hoffmann H. Surgical resection of pulmonary metastases from colorectal cancer: a systematic re- view of published series[J]. Ann Thorac Surg, 2007,94 (1) 327-339.
  • 4Welter S, Jacobs J, Krbek T, et al. Long-term survival after re- peated resection of pulmonary metastases from colorectal cancer [J]. Ann Thorac Surg, 2007,94(1).-203-210.
  • 5Onaitis M W, Petersen R P, Haney J C, et al. Prognostic fac- tors for recurrence after pulmonary resection of colorectal cancer metastases[J]. Ann Thorac Surg, 2009, 97(6):1994-1999.
  • 6Iizasa T, Suzuki M, Yoshida S, et al. Prediction of prognosis and surgical indications for pulmonary metastasectomy from colorectal cancer[J]. Ann Thorac Surg, 2006,92(1) :254-260.
  • 7Shiono S, Ishii G, Nagai K, et al. Histopathologic prognostic factors in resected coloectal lung metatases [J]. Ann Thorac Surg, 2005, 79(1) :279-292.
  • 8Rena O, Casadio C, Viano F, et al. Pulmonary resection for me- tastases from colorectal cancer: frctors influencing prognosis. Twenty-year experience[J]. Eur J Cardiothorac Surg, 2002, 21 (5) :906-912.

引证文献1

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部