[Factors influencing the long-term survival in pancreatic carcinoma patients after radical resection]

Autor: Wei-jian, Zhang, Shao-liang, Han, Fei-zhao, Jiang, Heng-liang, Zhu, Bai-liang, Ye, Qing-hong, Ke, Yao, Fang
Rok vydání: 2009
Předmět:
Zdroj: Zhonghua zhong liu za zhi [Chinese journal of oncology]. 30(11)
ISSN: 0253-3766
Popis: To investigate the factors influencing the long-term survival of pancreatic carcinoma patients after radical resection.The data of 184 pancreatic carcinoma patients with radical resection were analyzed retrospectively. Analysis of the prognostic factors influencing the long-term survival was performed using Cox proportional hazard regression model.The overall 1-, 3- and 5-year survival rates in this group were 61.7%, 29.0% and 14.3%, respectively. They were 78.0%, 38.4% and 25.7%, respectively, for the patients with a tumor3 cm in diameter, significantly better than those with a tumoror= 3 cm (52.8%, 22.7% and 7.2%, respectively, P0.05). Moreover, the 1-, 3- and 5-year survival rates were 67.6%, 30.5% and 17.4%, respectively, in the patients without lymph node involvement, much longer than that in those with lymph node metastasis (37.1%, 20.6% and 0, respectively, P0.05). Multivariate analysis by Cox proportional hazard regression model revealed that the tumor size (P0.05) and lymph node metastasis (P0.01) significantly influenced the long-term survival of the patients.Tumor size and lymph node metastasis are significant factors influencing the long-term survival of pancreatic carcinoma patients with radical resection. Therefore, early diagnosis and radical resection are the key points to improve treatment outcome.
Databáze: OpenAIRE