Prognosis of the Pancreatic Carcinoma
Journal of the Korean Surgical Society
;
: 332-337, 2003.
Artigo
em Coreano
| WPRIM
| ID: wpr-36623
ABSTRACT
PURPOSE:
Currently, pancreatic exocrine carcinomas present with low resectability rates and poor survival, even after curative surgery. In this article, the clinicopathological characteristics, and treatment outcomes, of patients are analyzed and discussed.METHODS:
Between 1983 and 2000, 106 exocrine pancreatic carcinoma patients were operated on at our institute. The medical records of 95 patients diagnosed with a ductal adenocarcinoma were reviewed, and the postoperative follow up results analyzed.RESULTS:
The locations of the tumors were the head, body and diffusely spread in 76 (80.0%), 17 (17.9%) and 2 (2.1%) patients, respectively. Of the 95 patients, 29 underwent surgical resection (resectability rate; 30.6%), 33 palliative bypass procedures and the other 33 an exploration only. The 1-, 3-, and 5-year survival rates in the resection group were 66.7%, 19.8% and 9.9%, respectively. In the non- resection group the 1-year survival rate was 3.3%, with a mean survival period of 5.5 months. The overall 1-, 3- and 5-year survival rates were 23.0%, 6.6%, and 3.3%, respectively. From a multivariate analysis, the location of tumor (P= 0.0067), TNM stage (P=0.0010) and resectability of tumor (P<0.0001) were all significant prognostic factors.CONCLUSION:
Pancreatic carcinomas have very low resectability, with a bad prognosis, and long term survival can only be obtained by their early detection and curative resection.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Adenocarcinoma
/
Prontuários Médicos
/
Análise Multivariada
/
Taxa de Sobrevida
/
Seguimentos
/
Cabeça
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2003
Tipo de documento:
Artigo
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