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Surgery Today

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01-07-2014 | Original Article

A prognostic indicator for the resection of liver metastasis of colorectal cancer

Authors: Ryosuke Amano, Nobuya Yamada, Bunzo Nakata, Kenjiro Kimura, Masakazu Yashiro, Masaichi Ohira, Kosei Hirakawa

Published in: Surgery Today | Issue 7/2014

Abstract

Purpose

We investigated the predictive indicator for a good prognosis of surgical resection for liver metastasis of colorectal cancer.

Method

Between 1990 and 2009 at our institute, 117 patients underwent 132 hepatic resections for liver metastasis of colorectal cancer. The clinical, pathological, and outcome parameters affecting their prognoses were analyzed. The extent of the liver metastases was subdivided according to the Japanese Classification of Colorectal Carcinoma (JCCRC), and the patients were classified into different grades based on the JCCRC classification and the status of the nodal involvement of the primary tumor.

Result

The median survival time (MST) of the 117 patients was 58 months, and the actuarial survival rates at 1, 3, and 5 years were 92.3, 60.0, and 46.1 %, respectively. A multivariate analysis revealed that the JCCRC Grade classification was an independent prognostic indicator (Grade A vs. B vs. C: MST, 72 vs. 41 vs. 23 months; 5-year survival, 59.0 vs. 38.6 vs. 0 %: p < 0.0001).

Conclusion

Our findings indicate that the JCCRC Grade classification for liver metastasis of colorectal cancer is a significant prognostic indicator and may be useful for making decisions regarding the treatment of liver metastasis.

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Title: A prognostic indicator for the resection of liver metastasis of colorectal cancer
Authors: Ryosuke Amano
Nobuya Yamada
Bunzo Nakata
Kenjiro Kimura
Masakazu Yashiro
Masaichi Ohira
Kosei Hirakawa
Publication date: 01-07-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 7/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0699-x

At a glance: The STEP trials

Springer Medicine

A prognostic indicator for the resection of liver metastasis of colorectal cancer

Abstract

Purpose

Method

Result

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Result

Conclusion

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