Regression analysis of prognostic factors in colorectal cancer after curative resections

作者: Theo Wiggers , Jan W. Arends , Alex Volovics

DOI: 10.1007/BF02552567

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摘要: The clinical, laboratory, and pathologic data of 310 patients who had curative resections were prospectively collected analyzed in a multiple step wise regression model. Although several factors (i.e., venous invasion) importance univariate analysis, the following conclusions reflect outcome relative analysis only. Blood loss as an initial symptom duration symptoms associated with better prognosis. Location primary tumor, age, sex did not appear to have prognostic value. Observations during operation such palpable lymph nodes, fixity adjacent organs, tumor spill related diminished tumor-free survival. Laboratory (hemoglobin, leukocytes, ESR, GGTP, SGOT, SGPT, LDH, total protein, CEA) tested for their potential values. Only preoperative low protein level or elevated CEA increased risk death due recurrent tumor. histopathologic features (stage grade), exception invasion, determination aforementioned variables can be included index on base which high-risk groups suitable adjuvant studies identified.

参考文章(30)
Indru T. Khubchandani, Mucosal advancement anoplasty. Diseases of The Colon & Rectum. ,vol. 28, pp. 194- 196 ,(1985) , 10.1007/BF02554245
Moti Khubchandani, Relationship of symptom duration and survival in patients with carcinoma of the colon and rectum Diseases of The Colon & Rectum. ,vol. 28, pp. 585- 587 ,(1985) , 10.1007/BF02554151
H. C. Umpleby, J. B. Bristol, J. B. Rainey, R. C. N. Williamson, Survival of 727 patients with single carcinomas of the large bowel Diseases of the Colon & Rectum. ,vol. 27, pp. 803- 810 ,(1984) , 10.1007/BF02553944
U. Wied, T. Nilsson, J. B. Knudsen, M. Sprechler, Aa. Johansen, Postoperative survival of patients with potentially curable cancer of the colon Diseases of The Colon & Rectum. ,vol. 28, pp. 333- 335 ,(1985) , 10.1007/BF02560435
Kim R. Ranbarger, William D. Johnston, Jian C. Chang, Prognostic significance of surgical perforation of the rectum during abdominoperineal resection for rectal carcinoma American Journal of Surgery. ,vol. 143, pp. 186- 188 ,(1982) , 10.1016/0002-9610(82)90063-0
Charles A. Slanetz, The effect of inadvertent intraoperative perforation on survival and recurrence in colorectal cancer Diseases of the Colon & Rectum. ,vol. 27, pp. 792- 797 ,(1984) , 10.1007/BF02553942
J.R. JASS, W.S. ATKIN, J. CUZICK, H.J.R. BUSSEY, B.C. MORSON, J.M.A. NORTHOVER, I.P. TODD, The grading of rectal cancer: historical perspectives and a multivariate analysis of 447 cases. Histopathology. ,vol. 10, pp. 437- 459 ,(1986) , 10.1111/J.1365-2559.1986.TB02497.X
Seth M. Steinberg, Jamie S. Barkin, Richard S. Kaplan, Donald M. Stablein, Prognostic indicators of colon tumors. The Gastrointestinal Tumor Study Group experience. Cancer. ,vol. 57, pp. 1866- 1870 ,(1986) , 10.1002/1097-0142(19860501)57:9<1866::AID-CNCR2820570928>3.0.CO;2-T
Harold J. Wanebo, Bhaskar Rao, Carl M. Pinsky, Raymond G. Hoffman, Maus Stearns, Morton K. Schwartz, Herbert F. Oettgen, Preoperative Carcinoembryonic Antigen Level as a Prognostic Indicator in Colorectal Cancer The New England Journal of Medicine. ,vol. 299, pp. 448- 451 ,(1978) , 10.1056/NEJM197808312990904
R. K. S. Phillips, R. Hittinger, J. S. Fry, L. P. Fielding, Malignant large bowel obstruction British Journal of Surgery. ,vol. 72, pp. 296- 302 ,(2005) , 10.1002/BJS.1800720417