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논문 기본 정보

자료유형
학술저널
저자정보
Yasuyuki Nakamura (Nara Medical University) Daisuke Hokuto (Nara Medical University) Fumikazu Koyama (Nara Medical University) Yasuko Matsuo (Nara Medical University) Takeo Nomi (Nara Medical University) Takahiro Yoshikawa (Nara Medical University) Naoki Kamitani (Nara Medical University) Tomomi Sadamitsu (Nara Medical University) Takeshi Takei (Nara Medical University) Yayoi Matsumoto (Nara Medical University) Yosuke Iwasa (Nara Medical University) Kohei Fukuoka (Nara Medical University) Shinsaku Obara (Nara Medical University) Takayuki Nakamoto (Nara Medical University) Hiroyuki Kuge (Nara Medical University) Masayuki Sho (Nara Medical University)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.37 No.5
발행연도
2021.10
수록면
326 - 336 (11page)
DOI
10.3393/ac.2020.09.14

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Purpose: Primary tumor location of colon cancer has been reported to affect the prognosis after curative resection. However, some reports suggested the impact was varied by tumor stage. This study analyzed the prognostic impact of the sidedness of colon cancer in stages II, III, and liver metastasis after curative resection using propensity-matched analysis.Methods: Right-sided colon cancer was defined as a tumor located from cecum to splenic flexure, while any more distal colon cancer was defined as left-sided colon cancer. Patients who underwent curative resection at Nara Medical University hospital between 2000 and 2016 were analyzed.Results: There were 110 patients with stage II, 100 patients with stage III, and 106 patients with liver metastasis. After propensity matching, 28 pairs with stage II and 32 pairs with stage III were identified. In the patients with stage II, overall survival (OS) and recurrence-free survival (RFS) were not significantly different for right- and left-sided colon cancers. In the patients with stage III, OS and RFS were significantly worse in right-sided colon cancer. In those with liver metastasis, OS of right-sided colon cancer was significantly worse than left-sided disease, while RFS was similar. Regarding metachronous liver metastasis, the difference was observed only in the patients whose primary colon cancer was stage III. In each stage, significantly higher rate of peritoneal recurrence was found in those with right-sided colon cancer.Conclusion: Sidedness of colon cancer had a significant and varied prognostic impact in patients with stage II, III, and liver metastasis after curative resection.
#Right-sided colon cancer #Left-sided colon cancer #Colorectal liver metastasis

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참고문헌 (22)

참고문헌 신청
Ferlay J / 2010 / Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008 / Int J Cancer 127:2893~2917 google schola Guinney J / 2015 / The consensus molecular subtypes of colorectal cancer / Nat Med 21:1350~1356 google schola Missiaglia E / 2014 / Distal and proximal colon cancers differ in terms of molecular, pathological, and clinical features / Ann Oncol 25:1995~2001 google schola Petrelli F / 2017 / Prognostic survival associated with left-sided vs right-sided colon cancer: a systematic review and meta-analysis / JAMA Oncol 3:211~219 google schola Ha GW / 2019 / Oncologic effects of primary tumor-sidedness on patients with stages 1-3 colon cancer: a meta-analysis / Ann Surg Oncol 26:1366~1375 google schola

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