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ID 11703
Eprint ID
11703
フルテキストURL
K003311.pdf 86.5 KB
タイトル(別表記)
同時性多発大腸癌は腫瘍発生部位により臨床的特徴が異なる
著者
深津 裕寿 岡山大学
抄録
AIMS: The purpose of this study was to investigate the clinical characteristics of synchronous cancer patients, with particular attention given to variations in tumour location. METHODS: A retrospective evaluation of 249 synchronous cancer cases out of 3061 consecutive colorectal cancer patients. RESULTS: Multivariate analysis of risk factors for synchronous cancer according to tumour location revealed that male gender was a significant risk for synchronous lesions in the left colon only (odds ratio=2.05, 95% confidence interval 1.34-3.13). Meanwhile, aging was a risk factor for synchronous cancer in the right colon only (odds ratio=1.05, 95% confidence interval 1.02-1.08), and in both sides of the colon (odds ratio=1.03, 95% confidence interval 1.01-1.05), but not in the left colon only (odds ratio=0.98, 95% confidence interval 0.97-1.00). In addition, patients with synchronous lesions in the right colon only tended to have adenomas in the right colon, while those with synchronous lesions in the left colon only tended to have adenomas in the left colon (each P value <0.05). CONCLUSION: The risk factors and status of concurrent adenomas of synchronous cancer cases varied according to tumour location, suggesting that the colonic site susceptible to neoplasia varies according to patient characteristics.
キーワード
Colonoscopy
Synchronous colorectal cancer
Tumour location
備考
http://dx.doi.org/10.1016/j.dld.2006.07.015
発行日
2007-03-23
出版物タイトル
資料タイプ
学位論文
学位授与番号
甲第3311号
学位授与年月日
2007-03-23
学位・専攻分野
博士(医学)
授与大学
岡山大学
オフィシャル URL
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16996329&dopt=Abstract
言語
Japanese
論文のバージョン
none
査読
不明