中国癌症杂志 ›› 2013, Vol. 23 ›› Issue (10): 841-844.doi: 10.3969/j.issn.1007-3969.2013.10.010

• 论著 • 上一篇    下一篇

结直肠癌根治性手术后复发时间与生存时间的相关性分析

王远鹤1,周进1,高余佳1,唐域1,陶秀娟1,赵滢2   

  1. 1.辽宁省肿瘤医院胃肠外科,辽宁 沈阳 110042;
    2.中国医科大学附属盛京医院胃肠外科,辽宁 沈阳 110004
  • 出版日期:2013-10-25 发布日期:2014-02-19
  • 通信作者: 王远鹤 E-mail:wangyuanhe@sina.com
  • 基金资助:
    辽宁省教育厅课题(No:L2012295)

The relationship between time to relapse and survival after curative surgery in colorectal cancer patients

WANG Yuan-he1,ZHOU Jin1,GAO Yu-jia1,TANG Yu1,TAO Xiu-juan1,ZHAO Ying2   

  1. 1.Department of Gastrointestinal Surgery, Liaoning Cancer Hospital, Shenyang Liaoning 110042, China;
    2. Department of Gastrointestinal Surgery, Shengjing Hospital Affiliated to China Medical University, Shenyang Liaoning 110004, China
  • Published:2013-10-25 Online:2014-02-19
  • Contact: WANG Yuan-he E-mail: wangyuanhe@sina.com

摘要:

背景与目的:结直肠癌根治性手术后复发率达30%~40%,肿瘤复发影响患者生存时间。本研究旨在探讨结直肠癌复发时间(time to relapseTTR)与肿瘤临床病理参数的关系,并进一步分析TTR对复发后生存时间的影响。方法:分析辽宁省肿瘤医院收治的375例结直肠癌患者的临床资料、病理结果及随访数据,比较结直肠癌复发与临床资料和病理类型的相关性,并研究TTR与复发后总体生存时间的关系。结果:TTR与确诊时肿瘤分期以及有无肺、肝脏转移密切相关。短期复发(<2)与生存时间密切相关,2~5年内复发与5年以上复发的患者,其生存时间差异无统计学意义(P>0.05)结论:结直肠癌患者术后复发时间与肿瘤分期及有无肺、肝脏转移密切相关,短期复发是预测复发后生存时间的重要指标。

关键词: 结直肠癌, 复发, 生存时间

Abstract:

Background and purpose: The risk of recurrence for colorectal cancer after curative surgery is up to 30%-40%. We aimed to evaluate the relationship between time to relapse (TTR) of colorectal cancer with clinical pathological parameters and overall survival after recurrence. Methods: We carried out the analysis of clinical data, pathological examination and follow up information of 375 colorectal cancer patients who admitted to Liaoning Cancer Hospital. Patients were categorized into relapse at <2, 2-5 and >5 years following their initial surgery. Results: TTR was associated with the clinical stage at diagnosis and liver or lung metastasis status. Short TTR (<2 years) was positively associated with survival. However, there was no significant difference in survival between patients who relapsed at 5 years or later compared with those who relapsed between 2 and 5 years. Conclusion: TTR within 2 years is an important predictor of shorter survival for colorectal cancer patients who experienced a relapse.

Key words: Colorectal cancer, Time to relapse, Overall survival