Colorectal carcinoma associated with ulcerative colitis: A study of prognostic indicators
Fifty-two patients with ulcerative colitis and colorectal cancer undergoing colectomy at the Mount Sinai Hospital between 1973 and 1988 were studied retrospectively to determine the correlation of age, sex, duration of colitis, tumor location, number of cancers, tumor differentiation, colloid conten...
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Veröffentlicht in: | The American journal of surgery 1992-07, Vol.164 (1), p.13-17 |
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description | Fifty-two patients with ulcerative colitis and colorectal cancer undergoing colectomy at the Mount Sinai Hospital between 1973 and 1988 were studied retrospectively to determine the correlation of age, sex, duration of colitis, tumor location, number of cancers, tumor differentiation, colloid content, presence of signet ring cells, Dukes' classification, and DNA ploidy with survival. The mean age was 45 years, with a mean duration of colitis of 21 years. Five patients (10%) had Dukes' A lesions, 17 (33%) had Dukes' B lesions, 17 (33%) had Dukes' C lesions, and 13 (25%) had distant metastases. Thirty patients (58%) had well- or moderately differentiated tumors, whereas tumors were poorly differentiated in 22 (42%). Twenty-eight patients (54%) had colloid tumors, and, in 14 (27%), signet ring cells were present. Thirty-one patients (60%) had nondiploid tumors. Actuarial analysis revealed that the 5-year survival rate was significantly worse for patients with nondiploid tumors (76% versus 32%). When stratified by stage, only patients with Dukes' C lesions showed a significant difference in survival for diploid versus nondiploid tumors. Multivariate analysis showed that the Dukes' classification was the best prognostic indicator, followed by tumor differentiation and DNA ploidy. Tumor location, colloid content, number of cancers, duration of disease, age, and sex did not correlate with the prognosis. |
doi_str_mv | 10.1016/S0002-9610(05)80638-5 |
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The mean age was 45 years, with a mean duration of colitis of 21 years. Five patients (10%) had Dukes' A lesions, 17 (33%) had Dukes' B lesions, 17 (33%) had Dukes' C lesions, and 13 (25%) had distant metastases. Thirty patients (58%) had well- or moderately differentiated tumors, whereas tumors were poorly differentiated in 22 (42%). Twenty-eight patients (54%) had colloid tumors, and, in 14 (27%), signet ring cells were present. Thirty-one patients (60%) had nondiploid tumors. Actuarial analysis revealed that the 5-year survival rate was significantly worse for patients with nondiploid tumors (76% versus 32%). When stratified by stage, only patients with Dukes' C lesions showed a significant difference in survival for diploid versus nondiploid tumors. Multivariate analysis showed that the Dukes' classification was the best prognostic indicator, followed by tumor differentiation and DNA ploidy. Tumor location, colloid content, number of cancers, duration of disease, age, and sex did not correlate with the prognosis.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(05)80638-5</identifier><identifier>PMID: 1626600</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Actuarial Analysis ; Adenocarcinoma - epidemiology ; Adenocarcinoma - mortality ; Adenocarcinoma - pathology ; Age ; Age Factors ; Biological and medical sciences ; Cancer ; Classification ; Colitis, Ulcerative - epidemiology ; Colitis, Ulcerative - mortality ; Colitis, Ulcerative - pathology ; Colloids ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - pathology ; Deoxyribonucleic acid ; Differentiation ; Diploids ; DNA ; DNA, Neoplasm - analysis ; Flow Cytometry ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Inflammatory bowel disease ; Lesions ; Medical prognosis ; Medical sciences ; Metastases ; Multivariate analysis ; Neoplasm Metastasis ; Neoplasm Staging ; New York City - epidemiology ; Other diseases. Semiology ; Ploidies ; Ploidy ; Prognosis ; Proportional Hazards Models ; Retrospective Studies ; Sex ; Sex Factors ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Survival ; Tumors ; Ulcerative colitis</subject><ispartof>The American journal of surgery, 1992-07, Vol.164 (1), p.13-17</ispartof><rights>1992 Reed Publishing USA</rights><rights>1993 INIST-CNRS</rights><rights>1992. 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The mean age was 45 years, with a mean duration of colitis of 21 years. Five patients (10%) had Dukes' A lesions, 17 (33%) had Dukes' B lesions, 17 (33%) had Dukes' C lesions, and 13 (25%) had distant metastases. Thirty patients (58%) had well- or moderately differentiated tumors, whereas tumors were poorly differentiated in 22 (42%). Twenty-eight patients (54%) had colloid tumors, and, in 14 (27%), signet ring cells were present. Thirty-one patients (60%) had nondiploid tumors. Actuarial analysis revealed that the 5-year survival rate was significantly worse for patients with nondiploid tumors (76% versus 32%). When stratified by stage, only patients with Dukes' C lesions showed a significant difference in survival for diploid versus nondiploid tumors. Multivariate analysis showed that the Dukes' classification was the best prognostic indicator, followed by tumor differentiation and DNA ploidy. Tumor location, colloid content, number of cancers, duration of disease, age, and sex did not correlate with the prognosis.</description><subject>Actuarial Analysis</subject><subject>Adenocarcinoma - epidemiology</subject><subject>Adenocarcinoma - mortality</subject><subject>Adenocarcinoma - pathology</subject><subject>Age</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Classification</subject><subject>Colitis, Ulcerative - epidemiology</subject><subject>Colitis, Ulcerative - mortality</subject><subject>Colitis, Ulcerative - pathology</subject><subject>Colloids</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Deoxyribonucleic acid</subject><subject>Differentiation</subject><subject>Diploids</subject><subject>DNA</subject><subject>DNA, Neoplasm - analysis</subject><subject>Flow Cytometry</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Lesions</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Metastases</subject><subject>Multivariate analysis</subject><subject>Neoplasm Metastasis</subject><subject>Neoplasm Staging</subject><subject>New York City - epidemiology</subject><subject>Other diseases. Semiology</subject><subject>Ploidies</subject><subject>Ploidy</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Retrospective Studies</subject><subject>Sex</subject><subject>Sex Factors</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Lesions</topic><topic>Medical prognosis</topic><topic>Medical sciences</topic><topic>Metastases</topic><topic>Multivariate analysis</topic><topic>Neoplasm Metastasis</topic><topic>Neoplasm Staging</topic><topic>New York City - epidemiology</topic><topic>Other diseases. Semiology</topic><topic>Ploidies</topic><topic>Ploidy</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Retrospective Studies</topic><topic>Sex</topic><topic>Sex Factors</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Survival</topic><topic>Tumors</topic><topic>Ulcerative colitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heimann, Tomas M.</creatorcontrib><creatorcontrib>Oh, Sangbaek C.</creatorcontrib><creatorcontrib>Martinelli, Giorgio</creatorcontrib><creatorcontrib>Szporn, Arnold</creatorcontrib><creatorcontrib>Luppescu, Neil</creatorcontrib><creatorcontrib>Lembo, Craig A.</creatorcontrib><creatorcontrib>Kurtz, Robert J.</creatorcontrib><creatorcontrib>Fasy, Thomas M.</creatorcontrib><creatorcontrib>Greenstein, Adrian J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heimann, Tomas M.</au><au>Oh, Sangbaek C.</au><au>Martinelli, Giorgio</au><au>Szporn, Arnold</au><au>Luppescu, Neil</au><au>Lembo, Craig A.</au><au>Kurtz, Robert J.</au><au>Fasy, Thomas M.</au><au>Greenstein, Adrian J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorectal carcinoma associated with ulcerative colitis: A study of prognostic indicators</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>164</volume><issue>1</issue><spage>13</spage><epage>17</epage><pages>13-17</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Fifty-two patients with ulcerative colitis and colorectal cancer undergoing colectomy at the Mount Sinai Hospital between 1973 and 1988 were studied retrospectively to determine the correlation of age, sex, duration of colitis, tumor location, number of cancers, tumor differentiation, colloid content, presence of signet ring cells, Dukes' classification, and DNA ploidy with survival. The mean age was 45 years, with a mean duration of colitis of 21 years. Five patients (10%) had Dukes' A lesions, 17 (33%) had Dukes' B lesions, 17 (33%) had Dukes' C lesions, and 13 (25%) had distant metastases. Thirty patients (58%) had well- or moderately differentiated tumors, whereas tumors were poorly differentiated in 22 (42%). Twenty-eight patients (54%) had colloid tumors, and, in 14 (27%), signet ring cells were present. Thirty-one patients (60%) had nondiploid tumors. Actuarial analysis revealed that the 5-year survival rate was significantly worse for patients with nondiploid tumors (76% versus 32%). When stratified by stage, only patients with Dukes' C lesions showed a significant difference in survival for diploid versus nondiploid tumors. Multivariate analysis showed that the Dukes' classification was the best prognostic indicator, followed by tumor differentiation and DNA ploidy. Tumor location, colloid content, number of cancers, duration of disease, age, and sex did not correlate with the prognosis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1626600</pmid><doi>10.1016/S0002-9610(05)80638-5</doi><tpages>5</tpages></addata></record> |
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subjects | Actuarial Analysis Adenocarcinoma - epidemiology Adenocarcinoma - mortality Adenocarcinoma - pathology Age Age Factors Biological and medical sciences Cancer Classification Colitis, Ulcerative - epidemiology Colitis, Ulcerative - mortality Colitis, Ulcerative - pathology Colloids Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - epidemiology Colorectal Neoplasms - mortality Colorectal Neoplasms - pathology Deoxyribonucleic acid Differentiation Diploids DNA DNA, Neoplasm - analysis Flow Cytometry Gastroenterology. Liver. Pancreas. Abdomen Humans Inflammatory bowel disease Lesions Medical prognosis Medical sciences Metastases Multivariate analysis Neoplasm Metastasis Neoplasm Staging New York City - epidemiology Other diseases. Semiology Ploidies Ploidy Prognosis Proportional Hazards Models Retrospective Studies Sex Sex Factors Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Survival Tumors Ulcerative colitis |
title | Colorectal carcinoma associated with ulcerative colitis: A study of prognostic indicators |
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