摘要
目的分析癌周脉管癌栓对淋巴结阴性的大肠癌术后复发及生存率的影响。方法对134例行根治切除的淋巴结阴性的大肠癌临床资料做回顾性分析。分析不同肿瘤T分期癌周脉管癌栓的比例,癌周脉管癌栓对大肠癌术后复发及5年生存率的影响。结果肿瘤T分期越晚,癌周脉管癌栓的比例越高。淋巴结阴性的大肠癌术后复发率癌周脉管癌栓阳性组高于对照组,其术后5年生存率癌周脉管癌栓阳性组低于对照组(P<0.05)。结论癌周脉管癌栓影响淋巴结阴性的大肠癌预后,术后化疗对改善存在癌周脉管癌栓的淋巴结阴性的大肠癌预后可能有益。
Objective To explore the influence of peritumor intravascular cancer emboli on the recurrence and survival of lymph node-negative colorectal carcinoma.Methods One hundred and thirty four patients with radical surgical resection of lymph node-negative colorectal carcinoma were enrolled into the study.Analysis was conducted in terms of the proportion of peritumor intravascular cancer emboli on different T classification of lymphy node-negative colorectal carcinoma and the influence of peritumor intravascular cancer emboli on the recurrence and survival of lymph node-negative colorectal carcinoma.Results The proportion of peritumor intravascular cancer emboli on different T classification was different.The proportion of peritumor intravascular cancer emboli on T4 was higer than those in the control group（P0.05）.The recurrence rate in the group with peritumor intravascular cancer emboli was higer than those in the control group（P〈0.05）.The 5-year survival rate in the group with peritumor intravascular cancer emboli was lower than those in the control group（P〈0.05）.Conclusion Peritumor intravascular cancer emboli is an important prognostic factor of lymph node-negative colorectal carcinoma.Some patients with peritumor intravascular cancer emboli and lymph node-negative colorectal carcinoma may benefit from adjuvant chemotherapy.
出处
《淮海医药》
CAS
2010年第2期119-120,共2页
Journal of Huaihai Medicine
关键词
肠肿瘤
淋巴结阴性
癌周脉管癌栓
预后
Intestinal neoplasms
Lymph node-negative
Peritumor intravascular cancer emboli
Prognosis
