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30例结直肠癌肺转移患者的临床特征及预后分析 被引量:5

Clinical features and prognostic analysis of 30 patients with pulmonary metastasis from colorectal cancer
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摘要 目的探讨结直肠癌(colorectal cancer,CRC)肺转移手术治疗后的生存预后情况。方法回顾性分析复旦大学附属中山医院胸外科2008年1月至2013年12月期间30例CRC肺转移手术治疗患者的临床资料。分析CRC原发灶手术与肺转移灶手术间期(disease-free interval,DFI)、癌胚抗原(carcinoembryonic antigen,CEA)、肺转移灶个数对术后生存情况的影响。结果高水平CEA是患者预后不良的因素,而DFI与CRC肺转移的病灶个数等对患者术后生存时间影响相对较小。结论积极手术治疗CRC肺转移可取得良好的预后疗效。 Objective To investigate the survival prognosis after the surgery of pulmonary metastasis from colorectal cancer (CRC). Methods Clinical data of 30 cases with postoperative pathologically proven pulmonary metastasis from CRC in Zhongshan Hospital, Fudan University between Jan. , 2008 and Dec. , 2013 were analyzed retrospectively. We evaluated the influences of disease-free interval (DFI) of CRC primary lesions surgery and pulmonary metastasis surgery, carcinoembryonic antigen (CEA) and the number of pulmonary metastasis on survival and prognosis. Results High level of CEA was an important factor for Poor prognosis. DFI and the number of pulmonary metastasis were not significantly correlated with the patients' survival. Conclusions Active surgery treatment for pulmonary metastasis from CRC do generate good prognosis.
出处 《复旦学报(医学版)》 CAS CSCD 北大核心 2015年第4期524-527,共4页 Fudan University Journal of Medical Sciences
基金 国家自然科学基金(81401875 81472225) 上海市自然科学基金(14ZR14060000)~~
关键词 结直肠癌 肺转移 癌胚抗原 colorectal cancer pulmonary metastasis carcinoembryonic antigen
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参考文献22

  • 1Center MM, Jemal A, Smith RA, et al. Worldwide variations in colorectal cancer [J]. CA Cancer J Clin, 2009,59(6) :366 - 378.
  • 2Siegel R, Naishadbam D, Jemal A. Cancer statistics, 2012 [J]. CA Cancer J Clin ,2012,62(1) :10 - 29.
  • 3McCormack PM, Butt ME, Bains MS, et al. Lung resection for colorectal metastases. 10-year results [J]. Arch Surg, 1992,127 (12) : 1403 - 1406.
  • 4Kievit J. Follow-up of patients with colorectal cancer: numbers needed to test and treat[J]. Eur J Cancer,2002, 38(7) :986 - 999.
  • 5Desch CE, Benson AR, Somerfield MR, et al. Colorectal cancer surveillance:2005 update of an American Society of Clinical Oncology practice guideline[J]. J Clin Oncol, 2005,23(33) :8512 - 8519.
  • 6Gonzalez M,Ris HB, Krueger T, et al. Colorectal cancer and thoracic surgeons: close encounters of the third kind [J]. Expert Rev Anticancer Ther ,2012,12(4) :495 - 503.
  • 7FiorentinoF, Hunt I, Teoh K, et al. Pulmonary metastasectomy in colorectal cancer: a systematic review and quantitative synthesis[J]. J R Soc Med,2010,103 (2) :60 - 66.
  • 8Salah S, Watanabe K, Welter S, et al. Colorectal cancer pulmonary oligometastases : pooled analysis and construction of a clinical lung metastasectomy prognostic model[J]. Ann Onco1,2012,23(10) :2649 - 2655.
  • 9Sanoff HK, Sargent DJ, Campbell ME, et al. Five-year data and prognostic factor analysis of oxaliplatin and irinotecan combinations for advanced colorectal cancer: N9741[J]. J Clin Onco1,2008,26(35) :5721- 5727.
  • 10Gonzalez M,Poneet A, Combescure C, et al. Risk factors for survival after lung metastaseetomy in colorectal cancer patients: a systematic review and recta-analysis[J]. Ann Surg 0ncol,2013,20(2) :572- 579.

二级参考文献8

  • 1Nilsson O,Johansson C,Glimelius B,et al.Sensitivity and specifity CA242 in gastrointestinal cancaer,a comparison with CEA,CA50 and CA19-9[J].Br J Cancer,1992,65(2):215.
  • 2NR,Finan PJ,Stephenson BM,et al.The roll of CA242 and CEA in surveillance following curative resection for colorectal cancer[J].Br J Cancer,1994,70:549-553.
  • 3Carpelan-Holmstrom-MA,Haglund-CH,Roberts-PJ,et al.Differences in serum tumor markers between colon and rectal cancer:Comparison of CA242 and Carcinoembryonicantigen:DIS-COLON-RECTUM[J].Diseases of the colon and rectum,1996,39(7):799-805.
  • 4Marrelli D,Roviello F,De Stefano A,et al.Prognostic significance of CEA,CA19-9 and CA72-4 preoerative serum levels in gastric carcinoma[J].Oncology,1999,57(1):55.
  • 5Joyppaul B,Browning M,Newman E,et al.Comparison of CA724 and CA19-9 levels in gastric cancer patients and correlation with recurrence[J].Am J Surg,1995,169(56):595.
  • 6Mattar R,Andrade CR,Difavero GM,et al.Preoperative serum levels of CA724,CEA,CA19-9 and alpha-fetoprotein in patients with gastic cancer[J].Rev Hosp Clin Fac Med Sao Paulo,2002,557(1):89.
  • 7Ian Zachary.Molecules in focus vascular endothelial growth factor[J].Int J Bioche and Cell Bio,1988,30:1169-1174.
  • 8杨毅军.血管内皮生长因子与肿瘤血管生成[J].中国普外基础与临床杂志,2001,8(3):205-207. 被引量:26

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