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논문 기본 정보

자료유형
학술저널
저자정보
이희영 (인하대학교) 신우영 (인하대학교) 최윤미 (인하대학교) 김경래 (인하대학교) 최선근 (인하대학교)
저널정보
대한종양외과학회 KOREAN JOURNAL OF CLINICAL ONCOLOGY Korean Journal of Clinical Oncology 제10권 제1호
발행연도
2014.6
수록면
35 - 40 (6page)

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Purpose: Recurrent disease after curative resection of primary rectal cancer is well known problem. The aim of this study was to evaluate the pattern of recurrence of rectal cancer and find out the predictive factors affecting recurrence following resection with curative intent.
Methods: A retrospective analysis was performed on 144 consecutive patients with rectal cancer curatively resected between January 2004 and December 2006 at our hospital. Univariate and multivariate analyses were performed on several clinicopathological variables to analyze factors affecting the cancer recurrence.
Results: Univariate analysis demonstrated that tumor size (P<0.001), depth of tumor and nodal metastasis (P<0.001), histologic grade (P=0.049), lymphovascular invasion (P<0.001), perineural invasion (P=0.002), adjuvant radiotherapy (P<0.001) were predictive factors for Postoperative recurrence. By multivariate analysis, female (P=0.035), tumor size over 4.5 cm (P=0.032), progressed T (P=0.047) and N (P=0.008) stage were significant predictive factors.
Conclusion: We concluded that those factors which could predict recurrence in rectal cancer were sex, invasion depth, lymph node status, and tumor size. That would be helpful for effective follow up and care of patient who had high risk factors about recurrence after curative resection. However there are many restriction in retrospective study, so we recommend the prospective study to ascertain the predictive factors.

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UCI(KEPA) : I410-ECN-0101-2015-510-002475307