Hemicolectomy Does Not Provide Survival Benefit for Right-Sided Mucinous Colon Adenocarcinoma.
Hemicolectomy Does Not Provide Survival Benefit for Right-Sided Mucinous Colon Adenocarcinoma.
复制标题
半结肠切除术不能为右侧粘液性结肠腺癌提供生存获益
DOI：
10.3389/fonc.2020.608836
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发表时间：
2020
影响因子：
4.7
通讯作者：
Xiao S
中科院分区：
文献类型：
--
作者：
Huang J;Huang Q;Tang R;Chen G;Zhang Y;He R;Zu X;Fu K;Peng X;Xiao S
The extent of bowel resection is widely debated in colon cancer surgery. Right hemicolectomy (RHC) and partial colectomy (PC) are the most common operation options for right-sided colon cancer (RCC). However, there are still no treatment guidelines or published studies to guide surgical options for mucinous adenocarcinoma (MAC) of RCC. Patients with MAC and non-specific adenocarcinoma (AC) of RCC who underwent RHC and PC from 2010 to 2015 in the Surveillance, Epidemiology, and End Results (SEER) database were retrieved. The general characteristics and survival were compared and analyzed. A total of 27,910 RCC patients were enrolled in this study, among them 3,413 were MAC. The results showed that race, carcinoembryonic antigen (CEA) level, perineural invasion (PNI), tumor size, tumor location, TNM stage, liver metastasis, chemotherapy were significantly different between MAC and AC groups. The MAC group had similar dissected lymph nodes, but more positive lymph nodes than the AC group. The overall survival (OS) of the MAC group was poorer than that of the AC group, but cancer-specific survival (CSS) was similar between the two groups. The RHC subgroup of the MAC group had more patients of age ≤60 years, larger tumor size, cecum/ascending colon location and dissected lymph nodes than the PC subgroup, but similar positive lymph nodes, perioperative mortality, OS and CSS as the PC subgroup. Moreover, the univariate and multivariable analyses for the survival of RCC patients with MAC showed that RHC might not be a superior predictor for OS and CSS compared with PC. RHC could not dissect more positive lymph nodes or provide long-term survival benefits for RCC patients with MAC compared with PC. This study could provide some evidence for surgery treatment selection for MAC of RCC, which has important clinical value in individual management of colon cancer patients.
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影响因子：
9.6
作者：
Bondeven, P.;Hagemann-Madsen, R. H.;Pedersen, B. Ginnerup
通讯作者：
Pedersen, B. Ginnerup
影响因子：
3.7
作者：
Hyngstrom JR;Hu CY;Xing Y;You YN;Feig BW;Skibber JM;Rodriguez-Bigas MA;Cormier JN;Chang GJ
通讯作者：
Chang GJ
影响因子：
168.9
作者：
Simmonds, P;Best, L;Violi, V
通讯作者：
Violi, V
影响因子：
3
作者：
YAMAMOTO, S;MOCHIZUKI, H;TAMAKUMA, S
通讯作者：
TAMAKUMA, S
影响因子：
51.1
作者：
Bertelsen, Claus A.;Neuenschwander, Anders U.;Kleif, Jakob
通讯作者：
Kleif, Jakob