Source:http://linkedlifedata.com/resource/pubmed/id/14534691
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2003-10-9
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pubmed:abstractText |
Among 371 patients with primary colorectal cancer, 54 patients suffered from recurrence/metastasis (recurrence group) and 317 survived without recurrence for at least 5 years (non-recurrence group). The clinicopathological characteristics of the 2 groups were compared and occult neoplastic cells (ONCs) in the lymph node sinuses were detected by cytokeratin immunohistochemistry. There were significant differences of the following factors: venous invasion (v-) vs. (v+) for Dukes' A patients (p=0.0315); harvested lymph nodes (LN) <or=14 vs. >or=15 for Dukes' B patients (p=0.0388); (v-) vs. (v+) (p=0.0059), lymphatic invasion (ly-) vs. (ly+) (p=0.0435) for Dukes' A and B patients combined; D>n vs. D=n (p=0.0033), depth of tumor invasion <or=ss/a1 vs. >or=se/a2 (p=0.0329) for Dukes' C patients. When the detection of >or=3 ONCs was defined as positive, the sensitivity, specificity, PPV, and NPV were respectively 77%, 100%, 100% and 71% in Dukes' B patients, as well as 75%, 72%, 73% and 74% in Dukes' C patients. The high-risk groups for recurrence/metastasis were identified by the following criteria: (v+) and (ly+), <or=14 LN, and ONCs (+) of those with all factors for Dukes' A and B patients (selection rate, approximately 23.5%), while the criteria were D=n, >or=se/a2, and ONCs (+) of those with >or=2 factors for Dukes' C patients (selection rate; approximately 21.2-37.5%). These factors seem to be appropriate for separating patients into high-risk and low-risk groups of colorectal cancer recurrence/metastasis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1021-335X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1753-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:14534691-Aged,
pubmed-meshheading:14534691-Colorectal Neoplasms,
pubmed-meshheading:14534691-Female,
pubmed-meshheading:14534691-Humans,
pubmed-meshheading:14534691-Immunohistochemistry,
pubmed-meshheading:14534691-Keratins,
pubmed-meshheading:14534691-Lymph Nodes,
pubmed-meshheading:14534691-Lymphatic Metastasis,
pubmed-meshheading:14534691-Male,
pubmed-meshheading:14534691-Middle Aged,
pubmed-meshheading:14534691-Neoplasm Invasiveness,
pubmed-meshheading:14534691-Neoplasm Metastasis,
pubmed-meshheading:14534691-Recurrence,
pubmed-meshheading:14534691-Risk,
pubmed-meshheading:14534691-Sensitivity and Specificity,
pubmed-meshheading:14534691-Time Factors,
pubmed-meshheading:14534691-Treatment Outcome
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pubmed:articleTitle |
Selection criteria for high risk and low risk groups of recurrence and metastasis in patients with primary colorectal cancer.
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pubmed:affiliation |
Department of Surgery, Tokai University Oiso Hospital, Kanagawa 259-0198, Japan. colorectalmasaya@yahoo.co.jp
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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