J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2054KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(7): 1022-1027, 1988

Original article

PREDICTION OF THE HEMATOGENIC METASTASIS AND LOCAL RECURRENCE OF RECTAL CANCER BY QUANTIFICATION OF THE CLINICO-PATHOLOGICAL FACTORS

First Department of Surgery, Akita University School of Medicine, Akita, Japan

Hitoshi Kotanagi, Osamu Nagasawa, Makoto Niwa, Masahiro Takahashi, Tomio Narisawa, Kenji Koyama

Clinico-pathological features of rectal cancers which caused hematogenic metastases, such as liver, lung and bone metastases, or local recurrence were studied. The influence of clinico-pathological factors on hematogenic metastases or local recurrence was quantified by using multivariate analysis.
This study revealed that the degree of advance of the cancer like lymph node metastases and the extent of cancer cell invasion in rectal wall had great influence on hematogenic metastases. It also revealed that the character of the cancer, such as macroscopic figure, histological type, age and localization, had great influence on local recurrence.
The personal score which was obtained by adding each score of clinico-pathological factors was related to the hematogenic metastasis or local recurrence.
This score was thought to be useful for the prediction of the hematogenic metastasis and local recurrence of rectal cancer.

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