毕新宇, 蔡建强, 赵建军, 邵永孚, 赵平. 淋巴结检出数对Dukes'B期及C期大肠癌患者预后的影响[J]. 中国肿瘤临床, 2007, 34(24): 1405-1409.
引用本文: 毕新宇, 蔡建强, 赵建军, 邵永孚, 赵平. 淋巴结检出数对Dukes'B期及C期大肠癌患者预后的影响[J]. 中国肿瘤临床, 2007, 34(24): 1405-1409.
Bi Xin-yu, Cai Jian-qiang, Zhao Jian-jund:\PDF\.pdf, . Influence of the Number of Lymph Nodes Retrieved on the Prognosis of Colorectal Cancer Dukes' Stage B and C[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(24): 1405-1409.
Citation: Bi Xin-yu, Cai Jian-qiang, Zhao Jian-jund:\PDF\.pdf, . Influence of the Number of Lymph Nodes Retrieved on the Prognosis of Colorectal Cancer Dukes' Stage B and C[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(24): 1405-1409.

淋巴结检出数对Dukes'B期及C期大肠癌患者预后的影响

Influence of the Number of Lymph Nodes Retrieved on the Prognosis of Colorectal Cancer Dukes' Stage B and C

  • 摘要: 目的:探讨淋巴结检出数对Dukes'B期及C期大肠癌患者预后的影响。方法:回顾分析373例Dukes'B期及C期患者的临床病理特征与淋巴结检出数的关系,及不同淋巴结检出数对患者预后的影响。结果:全组患者淋巴结检出数为13.71±9.38枚,肿瘤部位、大小及肿瘤浸润深度是影响淋巴结检出数的主要因素,结肠癌患者淋巴结检出数为17.51±12.79枚,显著多于直肠癌患者的11.09±6.17枚(P=0.000)。淋巴结检出较少(0~10枚)的Dukes'B期大肠癌患者,其5年生存率仅为60.4%,而淋巴结检出较多(>10枚)的Dukes'B期患者,其5年生存率为74.5%,两者比较具有显著性差异(P=0.002)。但淋巴结检出数对Dukes'C期大肠癌患者的预后无影响(P>0.05)。将结、直肠癌患者分别分析表明,直肠癌患者淋巴结检出数<9枚,结肠癌患者淋巴结检出数<13枚时,其5年生存率显著降低(P<0.05)。结论:为保证分期的准确及指导适宜的术后辅助治疗,直肠癌患者术后至少应检出9枚淋巴结,结肠癌患者至少应检出13枚淋巴结。

     

    Abstract: Objectives: To discuss the influence of the number of lymph nodes retrieved on the prognosis of colorectal cancer of Dukes' stage B and C. Methods: Clinicopathologic features of 373 patients with colorectal cancer of Dukes' stage B and C were retrospectively reviewed. The relationship between the number of lymph nodes retrieved and prognosis of these patients was analyzed. Results:The mean number of recovered lymph nodes in all colorectal cancer patients was 13.71± 9.38. Tumor site, tumor size and depth of invasion influenced the number of lymph nodes retrieved. The average number of retrieved lymph nodes in colon cancer patients was 17.51± 12.79; whereas in rectal cancer patients it was 11.09± 6.17 (P=0.000). The 5- year survival rate for patients with fewer lymph nodes (0~10) retrieved was 60.4%, lower than the 77.5% for patients with more lymph nodes retrieved (≥10).The number of lymph nodes retrieved did not affect the prognosis for Dukes' stage C patients. If the number of retrieved lymph nodes was lower than 9 in rectal cancer patients or lower than 13 in colon cancer patients, the 5- year survival rate was dramatically decreased. Conclusion: A minimum number of 9 lymph nodes in rectal cancer patients and 13 lymph nodes in colon cancer patients should be removed to obtain the best prognosis.

     

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