Evaluation of intraperitoneal lavage cytology before colorectal cancer resection

Purpose The aim of this study was to assess the usefulness of intraperitoneal lavage cytology (lavage Cy) status before the resection of colorectal cancer as a predictive factor of peritoneal recurrence. Materials and methods The lavage Cy-positive [lavage Cy (+)] rate, peritoneal recurrence rate, a...

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Veröffentlicht in:International journal of colorectal disease 2009-08, Vol.24 (8), p.907-914
Hauptverfasser: Fujii, Shoichi, Shimada, Hiroshi, Yamagishi, Shigeru, Ota, Mitsuyoshi, Kunisaki, Chikara, Ike, Hideyuki, Ichikawa, Yasushi
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container_end_page 914
container_issue 8
container_start_page 907
container_title International journal of colorectal disease
container_volume 24
creator Fujii, Shoichi
Shimada, Hiroshi
Yamagishi, Shigeru
Ota, Mitsuyoshi
Kunisaki, Chikara
Ike, Hideyuki
Ichikawa, Yasushi
description Purpose The aim of this study was to assess the usefulness of intraperitoneal lavage cytology (lavage Cy) status before the resection of colorectal cancer as a predictive factor of peritoneal recurrence. Materials and methods The lavage Cy-positive [lavage Cy (+)] rate, peritoneal recurrence rate, and 5-year survival rate were examined in 298 cases of colorectal cancer in relation to various clinicopathological factors. Results The overall lavage Cy (+) rate was 6.0%. The lavage Cy (+) rate within the group with peritoneal and hepatic metastases was significantly higher than that in the group without metastases (46.7% vs. 3.9% and 26.9% vs. 4.0%, respectively). The lavage Cy (+) rate was not significantly associated with any of the clinicopathological factors examined. The peritoneal recurrence rate was higher in the lavage Cy (+) group than in the lavage Cy-negative [lavage Cy (-)] group, although the difference was not statistically significant. There was no significant difference in survival, regardless of the lavage Cy status, among the 263 patients who underwent curative resection. Conclusion The lavage Cy status before resection was not a useful predictive factor of peritoneal recurrence in cases of colorectal cancer.
doi_str_mv 10.1007/s00384-009-0733-z
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Materials and methods The lavage Cy-positive [lavage Cy (+)] rate, peritoneal recurrence rate, and 5-year survival rate were examined in 298 cases of colorectal cancer in relation to various clinicopathological factors. Results The overall lavage Cy (+) rate was 6.0%. The lavage Cy (+) rate within the group with peritoneal and hepatic metastases was significantly higher than that in the group without metastases (46.7% vs. 3.9% and 26.9% vs. 4.0%, respectively). The lavage Cy (+) rate was not significantly associated with any of the clinicopathological factors examined. The peritoneal recurrence rate was higher in the lavage Cy (+) group than in the lavage Cy-negative [lavage Cy (-)] group, although the difference was not statistically significant. There was no significant difference in survival, regardless of the lavage Cy status, among the 263 patients who underwent curative resection. Conclusion The lavage Cy status before resection was not a useful predictive factor of peritoneal recurrence in cases of colorectal cancer.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-009-0733-z</identifier><identifier>PMID: 19475411</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Berlin/Heidelberg: Berlin/Heidelberg : Springer-Verlag</publisher><subject>Abdomen ; Aged ; Biological and medical sciences ; Chemotherapy, Adjuvant ; Colectomy ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - secondary ; Colorectal Neoplasms - surgery ; Cytodiagnosis ; Female ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatology ; Humans ; Internal Medicine ; Kaplan-Meier Estimate ; Liver Neoplasms - secondary ; Lymphatic Metastasis ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Original Article ; Peritoneal Cavity - pathology ; Peritoneal Lavage ; Peritoneal Neoplasms - diagnosis ; Peritoneal Neoplasms - mortality ; Peritoneal Neoplasms - secondary ; Predictive Value of Tests ; Preoperative Care ; Proctology ; Proportional Hazards Models ; Risk Assessment ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Time Factors ; Treatment Outcome ; Tumors</subject><ispartof>International journal of colorectal disease, 2009-08, Vol.24 (8), p.907-914</ispartof><rights>Springer-Verlag 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-8640a7e83705e232b50589ad0d1e6db15ca1ccbb9e9a0bc88be4e4f1be0941e63</citedby><cites>FETCH-LOGICAL-c489t-8640a7e83705e232b50589ad0d1e6db15ca1ccbb9e9a0bc88be4e4f1be0941e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-009-0733-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-009-0733-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21684896$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19475411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujii, Shoichi</creatorcontrib><creatorcontrib>Shimada, Hiroshi</creatorcontrib><creatorcontrib>Yamagishi, Shigeru</creatorcontrib><creatorcontrib>Ota, Mitsuyoshi</creatorcontrib><creatorcontrib>Kunisaki, Chikara</creatorcontrib><creatorcontrib>Ike, Hideyuki</creatorcontrib><creatorcontrib>Ichikawa, Yasushi</creatorcontrib><title>Evaluation of intraperitoneal lavage cytology before colorectal cancer resection</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Purpose The aim of this study was to assess the usefulness of intraperitoneal lavage cytology (lavage Cy) status before the resection of colorectal cancer as a predictive factor of peritoneal recurrence. Materials and methods The lavage Cy-positive [lavage Cy (+)] rate, peritoneal recurrence rate, and 5-year survival rate were examined in 298 cases of colorectal cancer in relation to various clinicopathological factors. Results The overall lavage Cy (+) rate was 6.0%. The lavage Cy (+) rate within the group with peritoneal and hepatic metastases was significantly higher than that in the group without metastases (46.7% vs. 3.9% and 26.9% vs. 4.0%, respectively). The lavage Cy (+) rate was not significantly associated with any of the clinicopathological factors examined. The peritoneal recurrence rate was higher in the lavage Cy (+) group than in the lavage Cy-negative [lavage Cy (-)] group, although the difference was not statistically significant. There was no significant difference in survival, regardless of the lavage Cy status, among the 263 patients who underwent curative resection. Conclusion The lavage Cy status before resection was not a useful predictive factor of peritoneal recurrence in cases of colorectal cancer.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy, Adjuvant</subject><subject>Colectomy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - secondary</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Cytodiagnosis</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. 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Anus</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujii, Shoichi</creatorcontrib><creatorcontrib>Shimada, Hiroshi</creatorcontrib><creatorcontrib>Yamagishi, Shigeru</creatorcontrib><creatorcontrib>Ota, Mitsuyoshi</creatorcontrib><creatorcontrib>Kunisaki, Chikara</creatorcontrib><creatorcontrib>Ike, Hideyuki</creatorcontrib><creatorcontrib>Ichikawa, Yasushi</creatorcontrib><collection>AGRIS</collection><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>Immunology Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</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 China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujii, Shoichi</au><au>Shimada, Hiroshi</au><au>Yamagishi, Shigeru</au><au>Ota, Mitsuyoshi</au><au>Kunisaki, Chikara</au><au>Ike, Hideyuki</au><au>Ichikawa, Yasushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of intraperitoneal lavage cytology before colorectal cancer resection</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>24</volume><issue>8</issue><spage>907</spage><epage>914</epage><pages>907-914</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>Purpose The aim of this study was to assess the usefulness of intraperitoneal lavage cytology (lavage Cy) status before the resection of colorectal cancer as a predictive factor of peritoneal recurrence. Materials and methods The lavage Cy-positive [lavage Cy (+)] rate, peritoneal recurrence rate, and 5-year survival rate were examined in 298 cases of colorectal cancer in relation to various clinicopathological factors. Results The overall lavage Cy (+) rate was 6.0%. The lavage Cy (+) rate within the group with peritoneal and hepatic metastases was significantly higher than that in the group without metastases (46.7% vs. 3.9% and 26.9% vs. 4.0%, respectively). The lavage Cy (+) rate was not significantly associated with any of the clinicopathological factors examined. The peritoneal recurrence rate was higher in the lavage Cy (+) group than in the lavage Cy-negative [lavage Cy (-)] group, although the difference was not statistically significant. There was no significant difference in survival, regardless of the lavage Cy status, among the 263 patients who underwent curative resection. Conclusion The lavage Cy status before resection was not a useful predictive factor of peritoneal recurrence in cases of colorectal cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Berlin/Heidelberg : Springer-Verlag</pub><pmid>19475411</pmid><doi>10.1007/s00384-009-0733-z</doi><tpages>8</tpages></addata></record>
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subjects Abdomen
Aged
Biological and medical sciences
Chemotherapy, Adjuvant
Colectomy
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - mortality
Colorectal Neoplasms - secondary
Colorectal Neoplasms - surgery
Cytodiagnosis
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Internal Medicine
Kaplan-Meier Estimate
Liver Neoplasms - secondary
Lymphatic Metastasis
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Original Article
Peritoneal Cavity - pathology
Peritoneal Lavage
Peritoneal Neoplasms - diagnosis
Peritoneal Neoplasms - mortality
Peritoneal Neoplasms - secondary
Predictive Value of Tests
Preoperative Care
Proctology
Proportional Hazards Models
Risk Assessment
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Time Factors
Treatment Outcome
Tumors
title Evaluation of intraperitoneal lavage cytology before colorectal cancer resection
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