A Study of Rectal Cancer with Perineural Invasion in Special Reference to Clinico: Pathological Factors

Rectal cancer of 218 patients were analyzed retrospectively for the relationship between nine factors and perineural invasion. The nine factors were age, sex, division of the rectum*, histological differentiation*, depth of invasion of the tumor*, lymphatic vessel invasion*, venous invasion*, lymph...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 1991, Vol.24(4), pp.1022-1028
Hauptverfasser: Nagasawa, Yasushige, Yanagita, Kenzoh, Tsuzita, Kazuki, Yasushi, Tatsuo, Gotoh, Tomohiko, Kuwahara, Toshiaki, Andoh, Kaoru, Funahashi, Kimihiko, Torigoshi, Yoshifusa, Watanabe, Kiyoshi, Nakamura, Hiroshi, Kase, Hazime, Wakabayashi, Miyoji, Okano, Yoshihiko, Kobayashi, Kazuo, Ohgai, Tadahisa, Kuramoto, Shintaro, Yoshio, Toshifumi, Tsujimoto, Shiroh
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container_issue 4
container_start_page 1022
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 24
creator Nagasawa, Yasushige
Yanagita, Kenzoh
Tsuzita, Kazuki
Yasushi, Tatsuo
Gotoh, Tomohiko
Kuwahara, Toshiaki
Andoh, Kaoru
Funahashi, Kimihiko
Torigoshi, Yoshifusa
Watanabe, Kiyoshi
Nakamura, Hiroshi
Kase, Hazime
Wakabayashi, Miyoji
Okano, Yoshihiko
Kobayashi, Kazuo
Ohgai, Tadahisa
Kuramoto, Shintaro
Yoshio, Toshifumi
Tsujimoto, Shiroh
description Rectal cancer of 218 patients were analyzed retrospectively for the relationship between nine factors and perineural invasion. The nine factors were age, sex, division of the rectum*, histological differentiation*, depth of invasion of the tumor*, lymphatic vessel invasion*, venous invasion*, lymph node metastasis* and Dukes' stage classification. Perineuralinvasion was found in 25.7% of all patients and had the closest statistical relationship to the following factors: depth of invasion of the tumor, lymph node metastasis, Dukes' classification, histological differentiation and venous invasion. Perineural invasion was notpresent in Dukes'A classification but existed in l3.7Vo of Dukes' B and in 44.6% of Dukes'C. The S-year cumulative survival rate in Dukes' A cases was 92%. In Dukes' B cases with perineural invasion, the survival rate was 35.5% as opposed to 72% in those without perineuralinvasion. In Dukes' C cases, the survival rate was 10% as opposed to 37Vo in those without perineural invasion. Therefore, perineural invasion was regarded as one factor in prognosis and made worsened the rate of survival of patients with rectal cancer. *Defined by Rules of Japanese Research Socity for Cancer of Colon and Rectum.(Jinnai: Jpn. J. Surg.13: 557-598, 1983)
doi_str_mv 10.5833/jjgs.24.1022
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source J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals
subjects neural invasion of rectal cancer
perineural invasion of rectal cancer
prognostic factor in rectal cancer
rectal cancer
title A Study of Rectal Cancer with Perineural Invasion in Special Reference to Clinico: Pathological Factors
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