结直肠癌肺转移切除术

K. Choi, Yang-Haeng Lee, Kyoung Taek Park, Il-Yong Han, Y. Yoon, Kwangjo Cho
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引用次数: 1

摘要

目的:手术切除是结肠腺癌肺转移的重要治疗方法。我们分析结直肠腺癌肺转移患者手术切除后的预后及与术后死亡率相关的预后因素。材料与方法:1994年1月至2009年12月,28例转移性结直肠癌患者行肺全切除术。我们对患者的特征和影响生存的因素进行了回顾性分析。生存率分析采用Kaplan-Meier法,组间比较采用log-rank分析。结果:中位生存期为53.07个月(Kaplan-Meier法)。肺转移数(p=0.0151)和开胸前癌胚抗原(CEA)水平大于5 ng/mL (p=0.0217)与生存率显著相关。结论:开胸前CEA水平和转移数与生存率有显著相关性。切除结直肠癌的肺转移病灶可以提高部分患者的生存率。[J] .肺癌杂志2010;9(2):91󰠏96]
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulmonary Metastasectomy for Colorectal Carcinoma
Purpose: Surgical resection is an important curative treatment for pulmonary metastases from colorectal adenocarcinoma. We analyzed the outcomes and the prognostic factors related to the post operative mortality after surgical resection for pulmonary metastases from colorectal adenocarcinoma. Materials and Methods: Between January 1994 and December 2009, 28 patients underwent complete pulmonary resection of metastatic colorectal carcinoma. We performed a retrospective review of the patient’s characteristics and the factors affecting survival. Survival was analyzed by the Kaplan-Meier method and comparison between groups was performed by a log-rank analysis. Results: The median survival was 53.07 months (Kaplan-Meier method). The number of pulmonary metastases (p=0.0151) and a prethoracotomy carcinoembryonic antigen (CEA) level over 5 ng/mL (p=0.0217) were significantly related with survival. Conclusion: The prethoracotomy CEA level and the number of metastases were significantly related with the survival rate. Resection of pulmonary metastatic lung lesion from colorectal cancer may improve the survival rate in a selected group of patients. (J Lung Cancer 2010;9(2):91 󰠏 96)
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