Mesenteric location of lymph node metastasis for colorectal cancer
Background The number of lymph node metastasis (LNM) is a strong prognostic factor in the treatment of colorectal cancer (CRC). However, the impact of the mesentery location on LNM remains unclear. We assessed the impact LNM location on the recurrence of stage III CRC. Methods Subjects with CRC and...
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Veröffentlicht in: | ANZ journal of surgery 2023-05, Vol.93 (5), p.1257-1261 |
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Sprache: | eng |
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Zusammenfassung: | Background
The number of lymph node metastasis (LNM) is a strong prognostic factor in the treatment of colorectal cancer (CRC). However, the impact of the mesentery location on LNM remains unclear. We assessed the impact LNM location on the recurrence of stage III CRC.
Methods
Subjects with CRC and pathologically positive LNM were enrolled retrospectively. We defined three groups: LNM adjacent to the tumour (group A), metastases with horizontal or vertical spread (group B), and metastases with both horizontal and vertical spread (group C). Recurrence‐free survival (RFS) was the primary outcome measure used for the study.
Results
A total of 241 (Group A: 121, B: 90, and C: 30) patients were recruited for the study. Multivariate analysis by Cox regression model indicated LNM location to be an independent predisposing risk factor for recurrence [group B: Hazard ratio (HR) 2.01, 95% Confidential interval (CI) 1.12–3.60, P = 0.019; group C: HR 3.00, 95% CI 1.34–6.72, P = 0.008]. Addition of mesentery spread to the N classification was significant risk factor for recurrence (mN2a: HR 2.01, 95% CI 1.07–3.78, P = 0.029; mN2b: HR 3.96, 95% CI 2.12–7.40, P |
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ISSN: | 1445-1433 1445-2197 |
DOI: | 10.1111/ans.18221 |