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
- 2008.12
- 수록면
- 268 - 275 (8page)
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Purpose: The objective of this study was to compare the clinicopathologic characteristics of the patients with extrahepatic bile duct cancer between the patients who are younger than 54 years and those who are older than 75 years.
Methods: Between 1994 and 2008, 63 patients underwent resectional surgery or palliative treatment for extrahepatic bile duct cancer. The medical records of these patients, including the clinicopathologic characteristics and the other relevant data, were retrospectively reviewed.
Results: There were some differences between the patient groups for the tumor location, distant metastasis and preoperative co-morbidity. The frequency of tumor locations were 58% proximal, 13% middle, 22% distal and 5% diffuse in the young patients and these were 33%, 18%, 48% and 0%, respectively, in the older patient group (p=0.049). The frequency of distant metastasis was 13% in the young patient group and none in the older patient group (p=0.026). The elderly patient group showed more preoperative co-morbidities (68% vs 29%, respectively) (p=0.009), but there was no statistical difference between the two groups for postoperative complications (p=0.301). There was no correlation between the preoperative co-morbidity and the operative complications for both groups. There were no differences in the other clinicopathologic characteristics and the survival rate for both groups.
Conclusion: Young and elderly patients with extrahepatic bile duct cancer had different clinicopathologic characteristics. Especially, in the young patients, there were more proximally located-tumors and distant metastases. Although there were more preoperative co-morbidities in the elderly patient group over the age of 75, this did not affect the operative complication rate when the co-morbidities were well controlled preoperatively.
Methods: Between 1994 and 2008, 63 patients underwent resectional surgery or palliative treatment for extrahepatic bile duct cancer. The medical records of these patients, including the clinicopathologic characteristics and the other relevant data, were retrospectively reviewed.
Results: There were some differences between the patient groups for the tumor location, distant metastasis and preoperative co-morbidity. The frequency of tumor locations were 58% proximal, 13% middle, 22% distal and 5% diffuse in the young patients and these were 33%, 18%, 48% and 0%, respectively, in the older patient group (p=0.049). The frequency of distant metastasis was 13% in the young patient group and none in the older patient group (p=0.026). The elderly patient group showed more preoperative co-morbidities (68% vs 29%, respectively) (p=0.009), but there was no statistical difference between the two groups for postoperative complications (p=0.301). There was no correlation between the preoperative co-morbidity and the operative complications for both groups. There were no differences in the other clinicopathologic characteristics and the survival rate for both groups.
Conclusion: Young and elderly patients with extrahepatic bile duct cancer had different clinicopathologic characteristics. Especially, in the young patients, there were more proximally located-tumors and distant metastases. Although there were more preoperative co-morbidities in the elderly patient group over the age of 75, this did not affect the operative complication rate when the co-morbidities were well controlled preoperatively.
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참고문헌
참고문헌 (27)
참고문헌 신청
1. [인터넷자원] - / /
2. [인터넷자원] - Ministry of Health and Welfare / / Annual Report of the Korea Central Cancer Registry 2001
3. [인터넷자원] - / / Young adult cancer patients
4. [학술지(정기간행물)] - Yancik R / 1996 / Cancer and comorbitity in older patients: a descriptive profile / Ann Epidemiology 6 : 399 ~ 412
5. [학술지(정기간행물)] - Kim HG / 1990 / Clinical analysis of surgery in the elderly / J Korean Surg Soc 39 : 792 ~ 799
2. [인터넷자원] - Ministry of Health and Welfare / / Annual Report of the Korea Central Cancer Registry 2001
3. [인터넷자원] - / / Young adult cancer patients
4. [학술지(정기간행물)] - Yancik R / 1996 / Cancer and comorbitity in older patients: a descriptive profile / Ann Epidemiology 6 : 399 ~ 412
5. [학술지(정기간행물)] - Kim HG / 1990 / Clinical analysis of surgery in the elderly / J Korean Surg Soc 39 : 792 ~ 799
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간외 담도암에서 수술 후 방사선치료의 역할
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Prognostic factors following surgical resection of distal bile duct cancer
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담관암 : 60명 환자의 처치와 결과
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2016 .01
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간외 담관암의 임상분석
Annals of Surgical Treatment and Research
1985 .04
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간외담도암 및 담낭암의 임상적 고찰
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Comparison of PD and Bile Duct Resection for Middle Bile Duct Cancer
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110. 담도암의 임상적 고찰
대한외과학회 학술대회 초록집
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Incidence and Overall Survival of Biliary Tract Cancers in South Korea from 2006 to 2015: Using the National Health Information Database
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담낭암 및 간외 담관암의 생존율에 관한 연구
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1995 .04
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UCI(KEPA) : I410-ECN-0101-2014-514-001253965