Cited 49 times in
Extended lymph node dissection for rectal cancer with radiologically diagnosed extramesenteric lymph node metastasis.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 민병소 | - |
dc.contributor.author | 손승국 | - |
dc.contributor.author | 이강영 | - |
dc.contributor.author | 임준석 | - |
dc.contributor.author | 조장환 | - |
dc.contributor.author | 김남규 | - |
dc.contributor.author | 김진수 | - |
dc.date.accessioned | 2015-04-24T17:29:30Z | - |
dc.date.available | 2015-04-24T17:29:30Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 1068-9265 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/105499 | - |
dc.description.abstract | BACKGROUND: The purpose of this study is to review the clinical outcomes of patients who received extended lymph node dissection for radiologically diagnosed extramesenteric lymph node metastasis. PATIENTS AND METHODS: The authors reviewed clinical characteristics, short-term operative outcomes, and long-term oncologic outcomes of 151 patients who had received total mesorectal excision plus extended lymph node dissection for the treatment of radiologically diagnosed extramesenteric lymph node metastasis. RESULTS: The positive predictive value of the radiologic diagnosis of extramesenteric lymph node metastasis was 86.4% for lateral nodes and 40.0% for para-aortic nodes. It showed improvement over time. Perioperative mortality occurred in 3 patients (2.0%) and morbidity in 31 patients (20.5%). Pathologic examinations revealed metastatic para-aortic lymph nodes in 43 patients (PA) and metastatic lateral pelvic nodes in 36 patients (LP), while in 21 patients, metastasis was found in both (LP + PA). Both cancer-specific survival (CSS) and disease-free survival (DFS) were significantly different according to the extent of node metastasis (CSS: P < .001; DFS: P < .001) and univariate and multivariate analyses for prognostic factors revealed that the lymph node status as to location was the only factor. CONCLUSION: Patients with extramesenteric lymph node metastasis may be a distinct subgroup with poor prognosis. Extended lymph node dissection may have a role for those patients. However, the optimal treatment strategy remains inconclusive, for which further clinical research is necessary. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 3271~3278 | - |
dc.relation.isPartOf | ANNALS OF SURGICAL ONCOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenocarcinoma/diagnostic imaging | - |
dc.subject.MESH | Adenocarcinoma/secondary | - |
dc.subject.MESH | Adenocarcinoma/surgery* | - |
dc.subject.MESH | Adenocarcinoma, Mucinous/diagnostic imaging | - |
dc.subject.MESH | Adenocarcinoma, Mucinous/secondary | - |
dc.subject.MESH | Adenocarcinoma, Mucinous/surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lymph Node Excision* | - |
dc.subject.MESH | Lymphatic Metastasis | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Radiography | - |
dc.subject.MESH | Rectal Neoplasms/diagnostic imaging | - |
dc.subject.MESH | Rectal Neoplasms/pathology | - |
dc.subject.MESH | Rectal Neoplasms/surgery* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Survival Rate | - |
dc.title | Extended lymph node dissection for rectal cancer with radiologically diagnosed extramesenteric lymph node metastasis. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Byung Soh Min | - |
dc.contributor.googleauthor | Jin Soo Kim | - |
dc.contributor.googleauthor | Nam Kyu Kim | - |
dc.contributor.googleauthor | Joon-Seok Lim | - |
dc.contributor.googleauthor | Kang Young Lee | - |
dc.contributor.googleauthor | Chang Hwan Cho | - |
dc.contributor.googleauthor | Seung Kook Sohn | - |
dc.identifier.doi | 10.1245/s10434-009-0692-1 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01021 | - |
dc.contributor.localId | A01402 | - |
dc.contributor.localId | A01978 | - |
dc.contributor.localId | A02640 | - |
dc.contributor.localId | A03408 | - |
dc.contributor.localId | A03894 | - |
dc.contributor.localId | A00353 | - |
dc.relation.journalcode | J00179 | - |
dc.identifier.eissn | 1534-4681 | - |
dc.identifier.pmid | 19763693 | - |
dc.identifier.url | http://link.springer.com/article/10.1245%2Fs10434-009-0692-1 | - |
dc.subject.keyword | Rectal Cancer | - |
dc.subject.keyword | Extended Lymph Node Dissection | - |
dc.subject.keyword | Pelvic Magnetic Resonance Imaging | - |
dc.subject.keyword | Lateral Node Metastasis | - |
dc.subject.keyword | Lateral Pelvic Node | - |
dc.contributor.alternativeName | Min, Byung Soh | - |
dc.contributor.alternativeName | Sohn, Seung Kook | - |
dc.contributor.alternativeName | Lee, Kang Young | - |
dc.contributor.alternativeName | Lim, Joon Seok | - |
dc.contributor.alternativeName | Cho, Chang Hwan | - |
dc.contributor.alternativeName | Kim, Nam Kyu | - |
dc.contributor.alternativeName | Kim, Jin Soo | - |
dc.contributor.affiliatedAuthor | Kim, Jin Soo | - |
dc.contributor.affiliatedAuthor | Min, Byung Soh | - |
dc.contributor.affiliatedAuthor | Sohn, Seung Kook | - |
dc.contributor.affiliatedAuthor | Lee, Kang Young | - |
dc.contributor.affiliatedAuthor | Lim, Joon Seok | - |
dc.contributor.affiliatedAuthor | Cho, Chang Hwan | - |
dc.contributor.affiliatedAuthor | Kim, Nam Kyu | - |
dc.citation.volume | 16 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 3271 | - |
dc.citation.endPage | 3278 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL ONCOLOGY, Vol.16(12) : 3271-3278, 2009 | - |
dc.identifier.rimsid | 44310 | - |
dc.type.rims | ART | - |
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