Cited 0 times in Scipus Cited Count

Experience of 1446 rectal cancer patients in Korea and analysis of prognostic factors.

DC Field Value Language
dc.contributor.authorPark, YJ-
dc.contributor.authorYouk, EG-
dc.contributor.authorChoi, HS-
dc.contributor.authorHan, SU-
dc.contributor.authorPark, KJ-
dc.contributor.authorLee, KU-
dc.contributor.authorChoe, KJ-
dc.contributor.authorPark, JG-
dc.date.accessioned2011-09-14T05:11:32Z-
dc.date.available2011-09-14T05:11:32Z-
dc.date.issued1999-
dc.identifier.issn0179-1958-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/4152-
dc.description.abstractIn order to investigate the changing pattern of rectal cancers in Korea and to identify prognostic factors, we investigated the case histories of 1446 rectal cancer patients who had received surgical treatment. During the study period there were trends toward a decrease in the ratio of rectal cancer to colon cancer, earlier detection (more Dukes' stages A and B and fewer C), a decrease in the number of abdominoperineal resections, and an increase in the number of sphincter-preserving operations. Univariate analysis of prognostic factors showed that gender, obstruction symptoms, preoperative serum carcinoembryonic antigen (CEA) level, tumor size, depth of bowel wall invasion, lymph node metastases (presence and number), tumor differentiation, operative method, and date of operation were significant, but age, symptom duration, and tumor location were not. The use of sphincter-saving operations did not adversely affect the clinical outcome. Multivariate analysis showed lymph node metastasis factor to be the most significant factor (P < 0.001); the depth of bowel wall invasion, differentiation, CEA level, and date of operation were also significant (0.001 < P < 0.05). This study shows that although anatomical extent of disease (depth of invasion and lymph node metastasis) is the most reliable prognostic predictor in rectal cancer, other factors such as preoperative CEA level and tumor differentiation also provide important information on the outcome and use of an anal-preserving operation does not adversely affect the patient survival.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKorea-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPrognosis-
dc.subject.MESHRectal Neoplasms-
dc.subject.MESHSurvival Rate-
dc.titleExperience of 1446 rectal cancer patients in Korea and analysis of prognostic factors.-
dc.typeArticle-
dc.identifier.pmid10367255-
dc.identifier.urlhttps://link.springer.com/content/pdf/10.1007/s003840050193.pdf-
dc.contributor.affiliatedAuthor한, 상욱-
dc.type.localJournal Papers-
dc.identifier.doi10.1007/s003840050193-
dc.citation.titleInternational journal of colorectal disease-
dc.citation.volume14-
dc.citation.number2-
dc.citation.date1999-
dc.citation.startPage101-
dc.citation.endPage106-
dc.identifier.bibliographicCitationInternational journal of colorectal disease, 14(2). : 101-106, 1999-
dc.identifier.eissn1432-1262-
dc.relation.journalidJ001791958-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse