DOI QR코드

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The efficacy of chemotherapy in the patients with stage II colon cancer associated with number of high-risk factors

  • Kim, Min Joo (Department of Surgery, Biomedical Research Institute, Pusan National University Hospital) ;
  • Baek, Seung-hyun (Department of Surgery, Biomedical Research Institute, Pusan National University Hospital) ;
  • Ko, Sanghwa (Department of Surgery, Busan Medical Center)
  • 투고 : 2017.10.25
  • 심사 : 2018.12.18
  • 발행 : 2018.12.31

초록

Purpose: This study assessed the effect of chemotherapy over stage II colon cancer in terms of presence of high-risk factors. Methods: Data were retrospectively reviewed for 364 patients with stage II colon cancer who underwent curative surgery between January 2007 and December 2012. High-risk factors of stage II colon cancer were examined, and the overall survival (OS) rates were analyzed. Survival benefit of adjuvant chemotherapy was also analyzed. Results: One hundred and fifteen cases had exclusively single high-risk factor and 194 cases were negative for high-risk factors. Postoperative chemotherapy was performed in 262 of 364 patients (72.0%). The 5-year OS was 79.4% and 86.6% for patients without adjuvant chemotherapy and those with chemotherapy, respectively. The 5-year OS was 88.2% and 83.3% for patients having exclusively single high-risk factor with adjuvant chemotherapy and those without chemotherapy, respectively. Conclusion: Adjuvant chemotherapy for patients with stage II colon cancer having exclusively single high-risk factor could be omitted, weighing up the survival benefit and side effect of chemotherapy.

키워드

참고문헌

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피인용 문헌

  1. Adjuvant chemotherapy in patients with stage II colon cancer vol.14, pp.2, 2018, https://doi.org/10.14216/kjco.18012