DOI QR코드

DOI QR Code

Clinicopathological Characteristics and Prognosis of Patients According to Recurrence Time After Curative Resection for Colorectal Cancer

  • Bozkurt, Oktay ;
  • Inanc, Mevlude ;
  • Turkmen, Esma ;
  • Karaca, Halit ;
  • Berk, Veli ;
  • Duran, Ayse Ocak ;
  • Ozaslan, Ersin ;
  • Ucar, Mahmut ;
  • Hacibekiroglu, Ilhan ;
  • Eker, Baki ;
  • Baspinar, Osman ;
  • Ozkan, Metin
  • Published : 2014.11.28

Abstract

Purpose: To investigate clinicopathological features in patients with recurrent colorectal cancer within 1 year and more than 1 year after curative resection. Materials and Methods: We retrospectively evaluated 103 patients with disease recurrence before versus after 1 year of resection. Thirty-two patients (31%) were diagnosed with recurrence less than 1 year after curative resection for colorectal cancer (early recurrence) and 71 (69%) after more than 1 year (non-early recurrence). Results: The early recurrence group displayed a significantly lower overall survival rate for both colon cancer (p=0, 01) and rectal cancer (p<0.001). Inadequate lymph node dissection was a significant predictor for early relapse. There were no statistically significant differences in clinicopathological variables such as age, sex, primary tumor localization, stage, depth of invasion, lymphovascular invasion and perineural invasion between the early and non-early recurrence groups. However, a K-ras mutation subgroup was significantly associated with early recurrence (p<0.001). Conclusions: Poor survival is associated with early recurrence for patients undergoing resection for non-metastatic colorectal cancer, as well as K-ras mutation.

Keywords

Predictive and prognostic factors;early recurrence;colorectal cancer;K-ras

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