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근치적 절제술 후 Vater씨 팽대부암의 예후 인자 및 생존율 분석

Other Titles
 Prognostic Factors and Survival Rate of Ampulla of Vater Cancer after Curative Surgery 
Authors
 홍영기  ;  정준  ;  김병로  ;  지훈상  ;  이우정  ;  최진섭  ;  윤동섭  ;  박영년  ;  이용상  ;  정은주  ;  박준성 
Citation
 Journal of the Korean Surgical Society, Vol.66(3) : 212-215, 2004 
Journal Title
 Journal of the Korean Surgical Society  (대한외과학회지) 
ISSN
 1226-0053 
Issue Date
2004
Abstract
Purpose: Ampulla of Vater cancer has a more favorable prognosis than other malignant tumors of the periampullary region, but prognostic factors have not been identified. The aim of this study was to evaluate the prognostic factors of ampulla of Vater cancer from a single hospital experience. Methods: The medical records of the 102 patients with ampulla of Vater cancer which underwent curative surgery between 1992 and 2002, were reviewed. All specimens were critically reviewed by an expert pathologist. The relationships between survival and the clinicopathological variables were assessed. Results: In 120 patients that presented with ampulla of Vater cancer, 102 (85%) were resected. The 5 year survival rate was 69.1%. A univariate analysis showed the survival was closely related to gender, the tumor gross morphology, invasion depth and lymph node metastasis. A multivariate analysis identified two significant factors; the depth of invasion and gender. Twenty nine of the 102 patients suffered a recurrence. Conclusion: The depth of invasion and gender were independent significant prognostic factors of resectable ampulla of Vater cancer. Careful observation is essential for liver metastasis after surgery, especially in patients that have these factors.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byong Ro(김병로)
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Park, Joon Seong(박준성) ORCID logo https://orcid.org/0000-0001-8048-9990
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Jung, Eun Joo(정은주) ORCID logo https://orcid.org/0000-0002-8297-0611
Jeong, Joon(정준) ORCID logo https://orcid.org/0000-0003-0397-0005
Chi, Hoon Sang(지훈상)
Choi, Jin Sub(최진섭)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111851
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