5 238

Cited 36 times in

Factors influencing recurrence after curative resection for ampulla of vater carcinoma

DC FieldValueLanguage
dc.contributor.author이우정-
dc.contributor.author지훈상-
dc.contributor.author최진섭-
dc.contributor.author김경식-
dc.contributor.author김병로-
dc.contributor.author박준성-
dc.contributor.author윤동섭-
dc.date.accessioned2014-12-21T16:52:57Z-
dc.date.available2014-12-21T16:52:57Z-
dc.date.issued2007-
dc.identifier.issn0022-4790-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/96529-
dc.description.abstractBACKGROUND: Carcinoma of the ampulla of Vater has a relatively higher resection rate, lower recurrence rate, and more favorable prognosis than other malignant tumors of the periampullary region. Because of the relative low incidence of carcinoma of the ampulla of Vater, there have been few reports on the patterns and risk factors of recurrence after curative resection. The aim of this study was to evaluate the patterns and risk factors of recurrence after curative resection of ampulla of Vater carcinoma. MATERIALS AND METHODS: Between January 1992 and December 2002, 102 patients received radical resection for ampulla of Vater carcinoma at Yonsei University Medical Center. Fifteen patients were excluded because of incomplete clinicopathologic data. Finally, 87 patients were reviewed and analyzed to assess predictors of tumor recurrence. RESULTS: Among the 87 patients, 37 patients (42.5%) experienced recurrent disease. The mean length of time to recurrence was 29.3 +/- 35.3 months, and the most common sites of recurrence were the intra-abdominal organs: liver and loco-regional lymph nodes. The patients were divided into two groups: early recurrence (<or=18 months) and late recurrence (>18 months). In the early recurrence group, ulcer formation tumors and poorly differentiated tumors were more common in comparison with the late recurrence group. Lymph node metastasis was identified as an independent factor of tumor recurrence after curative resection for ampulla of Vater carcinoma. CONCLUSION: Lymph node metastasis is the most important risk factor for recurrence after a curative resection. Also, the fact that a higher probability of recurrence is anticipated in cases of ulcer formation and poorly differentiated tumors, there exists a need for a close-up follow-up program.-
dc.description.statementOfResponsibilityopen-
dc.format.extent286~290-
dc.relation.isPartOfJOURNAL OF SURGICAL ONCOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma/secondary-
dc.subject.MESHAdenocarcinoma/surgery*-
dc.subject.MESHAmpulla of Vater/pathology-
dc.subject.MESHAmpulla of Vater/surgery*-
dc.subject.MESHCommon Bile Duct Neoplasms/pathology-
dc.subject.MESHCommon Bile Duct Neoplasms/surgery*-
dc.subject.MESHDuodenal Neoplasms/secondary-
dc.subject.MESHDuodenal Neoplasms/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHLymphatic Metastasis/pathology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local/pathology-
dc.subject.MESHNeoplasm Recurrence, Local/surgery*-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHPancreatic Neoplasms/secondary-
dc.subject.MESHPancreatic Neoplasms/surgery*-
dc.subject.MESHPancreaticoduodenectomy-
dc.subject.MESHPrognosis-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTreatment Outcome-
dc.titleFactors influencing recurrence after curative resection for ampulla of vater carcinoma-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJoon Seong Park-
dc.contributor.googleauthorDong Sup Yoon-
dc.contributor.googleauthorByong Ro Kim-
dc.contributor.googleauthorHoon Sang Chi-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorJin Sub Choi-
dc.contributor.googleauthorKyung Sik Kim-
dc.identifier.doi10.1002/jso.20665-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02993-
dc.contributor.localIdA03977-
dc.contributor.localIdA04199-
dc.contributor.localIdA00299-
dc.contributor.localIdA00496-
dc.contributor.localIdA01672-
dc.contributor.localIdA02548-
dc.relation.journalcodeJ01762-
dc.identifier.eissn1096-9098-
dc.identifier.pmid17326125-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1002/jso.20665/abstract-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.alternativeNameChi, Hoon Sang-
dc.contributor.alternativeNameChoi, Jin Sub-
dc.contributor.alternativeNameKim, Kyung Sik-
dc.contributor.alternativeNameKim, Byong Ro-
dc.contributor.alternativeNamePark, Joon Seong-
dc.contributor.alternativeNameYoon, Dong Sup-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.contributor.affiliatedAuthorChi, Hoon Sang-
dc.contributor.affiliatedAuthorChoi, Jin Sub-
dc.contributor.affiliatedAuthorKim, Kyung Sik-
dc.contributor.affiliatedAuthorKim, Byong Ro-
dc.contributor.affiliatedAuthorPark, Joon Seong-
dc.contributor.affiliatedAuthorYoon, Dong Sup-
dc.rights.accessRightsnot free-
dc.citation.volume95-
dc.citation.number4-
dc.citation.startPage286-
dc.citation.endPage290-
dc.identifier.bibliographicCitationJOURNAL OF SURGICAL ONCOLOGY, Vol.95(4) : 286-290, 2007-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.