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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
- 저널정보
- 대한병리학회 Journal of Pathology and Translational Medicine Journal of Pathology and Translational Medicine 제52권 제2호
- 발행연도
- 2018.1
- 수록면
- 98 - 104 (7page)
이용수
초록· 키워드
오류제보하기
Background: Patients with resectable colorectal lung oligometastasis (CLOM) demonstrate a heterogeneous oncological outcome. However, the parameters for predicting tumor aggressiveness have not yet been fully investigated in CLOM. This study was performed to determine the prognostic value of histological growth patterns in patients who underwent surgery for CLOM. Methods: The study included 92 patients who were diagnosed with CLOM among the first resection cases. CLOMs grow according to three histological patterns: aerogenous, pushing, and desmoplastic patterns. The growth patterns were evaluated on archival hematoxylin and eosin–stained tissue sections. Results: The aerogenous pattern was found in 29.4% (n = 27) of patients, the pushing pattern in 34.7% (n = 32), the desmoplastic pattern in 6.5% (n = 6), and a mix of two growth patterns in 29.4% (n = 27). The size of the aerogenous pattern was significantly smaller than that of metastases with other patterns (p = .033). Kaplan-Meier analysis demonstrated that patients showing an aerogenous pattern appeared to have a poorer prognosis, which was calculated from the time of diagnosis of the CLOM (p = .044). The 5-year survival rate from the diagnosis of colorectal cancer tended to be lower in patients with an aerogenous pattern than in those who had a non-aerogenous pattern; however, the difference was marginally significant (p = .051). In the multivariate Cox analysis, the aerogenous pattern appeared as an independent predictor of poor overall survival (hazard ratio, 3.122; 95% confidence interval, 1.196 to 8.145; p = .020). Conclusions: These results suggest that the growth patterns may play a part as a histology-based prognostic parameter for patients with CLOM.
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참고문헌 (22)
참고문헌 신청
Weichselbaum RR / 2011 / Oligometastases revisited / Nat Rev Clin Oncol 8:378~382
Corbin KS / 2013 / Extracranial oligometastases: a subset of metastases curable with stereotactic radiotherapy / J Clin Oncol 31:1384~1390
Comito T / 2014 / Stereotactic ablative radiotherapy (SABR) in inoperable oligometastatic disease from colorectal cancer: a safe and effective approach / BMC Cancer 14:619
Inoue M / 2004 / Benefits of surgery for patients with pulmonary metastases from colorectal carcinoma / Ann Thorac Surg 78:238~244
Rama N / 2009 / Lung metastases from colorectal cancer: surgical resection and prognostic factors / Eur J Cardiothorac Surg 35:444~449
Corbin KS / 2013 / Extracranial oligometastases: a subset of metastases curable with stereotactic radiotherapy / J Clin Oncol 31:1384~1390
Comito T / 2014 / Stereotactic ablative radiotherapy (SABR) in inoperable oligometastatic disease from colorectal cancer: a safe and effective approach / BMC Cancer 14:619
Inoue M / 2004 / Benefits of surgery for patients with pulmonary metastases from colorectal carcinoma / Ann Thorac Surg 78:238~244
Rama N / 2009 / Lung metastases from colorectal cancer: surgical resection and prognostic factors / Eur J Cardiothorac Surg 35:444~449
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