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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.10
- 수록면
- 287 - 293 (7page)
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이 논문의 연구 히스토리 (2)
2010
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Purpose: Treatment of ovarian metastasis from colorectal cancer has been controversial. We investigated the clinicopathologic features and treatment outcomes of patients with ovarian metastasis from colorectal carcinoma.
Methods: From January 1996 to May 2009, 567 women were treated for colorectal cancer. Of those, 23 patients were diagnosed as having ovarian metastasis. We reviewed 19 pathologically proven cases, retrospectively.
Results: The incidence of ovarian metastasis was 4.0%. The number of cases involving synchronous ovarian metastases was 9 (47.4%), and 10 cases (52.6%) involved metachronous ovarian metastases. Thirteen patients had metastases located in the pelvis and 6 also had peritoneal dissemination in addition to the ovarian metastasis. Twenty (63.1%) were treated with grossly complete resection. After a median follow-up duration of 45 months (range of 6∼96 months), the median survival after the diagnosis of ovarian metastasis was 40 months. The median overall survival was significantly longer in the grossly complete resection group (48.5 vs. 16 months; P=0.001). For median survival after the diagnosis of ovarian-metastasis, patients with grossly complete resection showed a significantly more favorable survival rate than the group with remnant tumors (46.5 vs 9 months; P=0.009). The survival of patients with metastases located in the pelvis was better than the group with peritoneal dissemination.
Conclusion: Grossly complete resection would be of help to improve the prognosis in selective patients with metastasis from colorectal cancer, especially when metastasis is located in the pelvis.
Methods: From January 1996 to May 2009, 567 women were treated for colorectal cancer. Of those, 23 patients were diagnosed as having ovarian metastasis. We reviewed 19 pathologically proven cases, retrospectively.
Results: The incidence of ovarian metastasis was 4.0%. The number of cases involving synchronous ovarian metastases was 9 (47.4%), and 10 cases (52.6%) involved metachronous ovarian metastases. Thirteen patients had metastases located in the pelvis and 6 also had peritoneal dissemination in addition to the ovarian metastasis. Twenty (63.1%) were treated with grossly complete resection. After a median follow-up duration of 45 months (range of 6∼96 months), the median survival after the diagnosis of ovarian metastasis was 40 months. The median overall survival was significantly longer in the grossly complete resection group (48.5 vs. 16 months; P=0.001). For median survival after the diagnosis of ovarian-metastasis, patients with grossly complete resection showed a significantly more favorable survival rate than the group with remnant tumors (46.5 vs 9 months; P=0.009). The survival of patients with metastases located in the pelvis was better than the group with peritoneal dissemination.
Conclusion: Grossly complete resection would be of help to improve the prognosis in selective patients with metastasis from colorectal cancer, especially when metastasis is located in the pelvis.
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REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Erroi F / 2007 / Ovarian metastasis from colorectal cancer: prognostic value of radical oophorectomy / J Surg Oncol 96 : 113 ~ 117
2. [학술지(정기간행물)] - McCormick CC / 2007 / The role of cytoreductive surgery for colon cancer metastatic to the ovary / Gynecol Oncol 105 : 791 ~ 795
3. [학술지(정기간행물)] - Ayhan A / 1995 / Malignant tumors metastatic to the ovaries / J Surg Oncol 60 : 268 ~ 276
4. [학술지(정기간행물)] - Ayhan A / 2005 / The role of cytoreductive surgery in nongenital cancers metastatic to the ovaries / Gynecol Oncol 98 : 235 ~ 241
5. [학술지(정기간행물)] - Rayson D / 2000 / Outcome after ovarian/adnexal metastectomy in metastatic colorectal carcinoma / J Surg Oncol 75 : 186 ~ 192
2. [학술지(정기간행물)] - McCormick CC / 2007 / The role of cytoreductive surgery for colon cancer metastatic to the ovary / Gynecol Oncol 105 : 791 ~ 795
3. [학술지(정기간행물)] - Ayhan A / 1995 / Malignant tumors metastatic to the ovaries / J Surg Oncol 60 : 268 ~ 276
4. [학술지(정기간행물)] - Ayhan A / 2005 / The role of cytoreductive surgery in nongenital cancers metastatic to the ovaries / Gynecol Oncol 98 : 235 ~ 241
5. [학술지(정기간행물)] - Rayson D / 2000 / Outcome after ovarian/adnexal metastectomy in metastatic colorectal carcinoma / J Surg Oncol 75 : 186 ~ 192
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