지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.4
- 수록면
- 207 - 212 (6page)
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초록· 키워드
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Purpose: This study was designed to determine the risk factors of lymph node (LN) metastasis in patients with submucosal invasive colorectal cancer (SICC).
Methods: Between January 1998 and January 2009, we reviewed patients who had undergone radical colon resection with LN dissection for SICC.
Results: There were 36 males and 40 females (mean age, 61.1 years; range, 35∼86 years). In the univariate analysis, the risk of LN metastasis was related to the depth (absolute and relative), lymphovascular invasion, tumor budding, and tumor differentiation (P＜0.05). The relative depth by Kudo classification and lymphovascular invasion were significant predictors of LN metastasis both in univariate and multivariate analysis. In SICC with an absolute depth ＜1,800㎛, no LN metastasis was detected. Regardless of the size of the SICC, tumors that invaded within the sm2 layer and had no lymphovascular invasion had no LN metastasis.
Conclusion: In the SICC, lymphovascular invasion and depth of submucosal invasion are strong predictors of LN metastasis. If deep invasion exceeds sm2 and positive lymphovascular invasion exists in the resected specimen, additional colectomy with LN dissection appears to be necessary.
Methods: Between January 1998 and January 2009, we reviewed patients who had undergone radical colon resection with LN dissection for SICC.
Results: There were 36 males and 40 females (mean age, 61.1 years; range, 35∼86 years). In the univariate analysis, the risk of LN metastasis was related to the depth (absolute and relative), lymphovascular invasion, tumor budding, and tumor differentiation (P＜0.05). The relative depth by Kudo classification and lymphovascular invasion were significant predictors of LN metastasis both in univariate and multivariate analysis. In SICC with an absolute depth ＜1,800㎛, no LN metastasis was detected. Regardless of the size of the SICC, tumors that invaded within the sm2 layer and had no lymphovascular invasion had no LN metastasis.
Conclusion: In the SICC, lymphovascular invasion and depth of submucosal invasion are strong predictors of LN metastasis. If deep invasion exceeds sm2 and positive lymphovascular invasion exists in the resected specimen, additional colectomy with LN dissection appears to be necessary.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Kudo S / 1993 / Endoscopic mucosal resection of flat and depressed types of early colorectal cancer / Endoscopy 25 : 455 ~ 461
2. [학술지(정기간행물)] - Kudo S / 2000 / Colonoscopic diagnosis and management of nonpolypoid early colorectal cancer / World J Surg 24 : 1081 ~ 1090
3. [학술지(정기간행물)] - Hurlstone DP / 2004 / Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection / Gut 53 : 1334 ~ 1339
4. [학술지(정기간행물)] - Nivatvongs S / 2000 / Surgical management of early colorectal cancer / World J Surg 24 : 1052 ~ 1055
5. [학술지(정기간행물)] - Kikuchi R / 1995 / Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines / Dis Colon Rectum 38 : 1286 ~ 1295
2. [학술지(정기간행물)] - Kudo S / 2000 / Colonoscopic diagnosis and management of nonpolypoid early colorectal cancer / World J Surg 24 : 1081 ~ 1090
3. [학술지(정기간행물)] - Hurlstone DP / 2004 / Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection / Gut 53 : 1334 ~ 1339
4. [학술지(정기간행물)] - Nivatvongs S / 2000 / Surgical management of early colorectal cancer / World J Surg 24 : 1052 ~ 1055
5. [학술지(정기간행물)] - Kikuchi R / 1995 / Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines / Dis Colon Rectum 38 : 1286 ~ 1295
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UCI(KEPA) : I410-ECN-0101-2013-514-002679425