A study of aspects on gender and prognosis in synchronous colorectal cancer
- PMID: 21912492
- PMCID: PMC3165921
- DOI: 10.4137/CMO.S7871
A study of aspects on gender and prognosis in synchronous colorectal cancer
Abstract
Aim: To assess differences in demography, pathology and prognosis with tumor multiplicity in colorectal cancer.
Method: A retrospective single centre study of all patients surgically treated for a colorectal cancer during 1999-2008 (n = 2524). Patient characteristics, pathology and follow-up data were retrieved. Survival was assessed by overall and cancer specific survival.
Results: 60 (2.4%) patients had a synchronous cancer (SC), associated with right colon, higher age, more assessed lymph nodes but a lower frequency of stage III/IV disease (42% vs. 52%). There was no overall prognostic difference between single or multiple cancer patients but females with SC had better survival than corresponding males (P < 0.046).
Conclusion: The incidence of synchronous cancers was 2.4% with the second cancer often located in right colon. The SC patients were older than single tumor patients, had a lower frequency of stage III/IV disease and the females with SC had a better survival prognosis than corresponding males.
Keywords: colorectal cancer; gender; mortality; multiple tumors; survival.
Figures
References
-
- Socialstyrelsen. Cancer incidence in Sweden 1999. 2001. Swedish National Board of Health; Stockholm: 2001.
-
- Welch JP. Multiple colorectal tumors. An appraisal of natural history and therapeutic options. Am J Surg. 1981;142(2):274–80. - PubMed
-
- Fante R, Roncucci L, Di Gregorio C, et al. Frequency and clinical features of multiple tumors of the large bowel in the general population and in patients with hereditary colorectal carcinoma. Cancer. 1996;77(10):2013–21. - PubMed
-
- Kehoe J, Khatri VP. Staging and prognosis of colon cancer. Surg Oncol Clin N Am. 2006;15(1):129–46. - PubMed
-
- Cunliffe WJ, Hasleton PS, Tweedle DE, Schofield PF. Incidence of synchronous and metachronous colorectal carcinoma. Br J Surg. 1984;71(12):941–3. - PubMed
LinkOut - more resources
Full Text Sources
