医学
卵巢切除术
结直肠癌
卵巢癌
卵巢
比例危险模型
内科学
生存分析
转移
癌症
阶段(地层学)
肿瘤科
外科
子宫切除术
古生物学
生物
作者
Q Li,Y Q Li,Huiping Zhang,Yihebali Chi,X Y Wang,Lingge Yang,Aiping Zhou,Young rim Song,Yi‐Hung Sun,J W Wang,Liwei Wu,Jiaofeng Huang
出处
期刊:PubMed
[National Institutes of Health]
日期:2021-01-23
卷期号:43 (1): 132-136
标识
DOI:10.3760/cma.j.cn112152-20200601-00504
摘要
Objective: To explore the clinicopathological characteristics and prognosis of patients with ovarian metastases from colorectal cancer. Methods: A total of 122 female patients with ovarian metastases from colorectal cancer underwent treatment in Cancer Hospital, Chinese Academy of Medical Sciences between 2010 and 2015 were recruited. The clinicopathological features, treatment details and survival data of these patients were retrospectively analyzed. Kaplan-Maier method was used for survival analysis, log rank test and Cox proportional hazards model were used for prognostic factor analysis. Results: The median overall survival (OS) was 19.7 months. The 1-year, 3-years and 5-years OS rates were 72.1%, 24.7% and 9.9%, respectively. A total of 99 (81.1%) patients underwent oophorectomy. The median OS of patients who underwent oophorectomy was 21.9 months, significantly longer than 10.3 months of patients without oophorectomy (P<0.01). Ovary as the only site of metastasis, primary tumor resection, and oophorectomy were associated with improved survival (all P<0.01). Primary tumor resection and oophorectomy were independent prognostic factors for OS (both P<0.01). Conclusion: Patients with ovarian metastases from colorectal cancer might acquire a survival benefit from surgical resection of the primary tumor and ovaries.
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