ISSN 2146-8133
 

Original Research (Original Article) Open Access


Prognostic factors affecting overall survival in right colon cancer

Mehmet Ince, Nail Ersoz, Mehmet Fatih Can, Gokhan Yagci, Sezai Demirbas, Ismail Hakki Ozerhan, Yusuf Peker.

Abstract
Background: The prognosis of patients who have carcinoma of the colon is dependent on several factors that are clinical, pathological, and biological. Adequate lymph node staging in patients with colon cancer is important for determining prognosis and planning further treatment. We aimed to determine what factors might predict survival in patients with right colon cancer.
Methods: Between 2007 and 2014, consecutive patients undergoing operation for adenocarcinoma of the right-sided colon were enrolled in this study. The following factors were analyzed with the Cox regression model: age, gender, localization of the tumor, recurrence, pTNM stage, removed and invaded lymph node status (MLN) and survival rate. Multivariate models were used to assess the adjusted effects and to explore the interaction between survival and other factors.
Results: A total of 56 (38,1%) men and 91 (61,9%) women, mean age being 61,8 ± 15,9 years, were included. The mean survival time was 46,5 ± 43,2 months. The mean LN number was 18,8 ± 9,44; MLN number was 2,66 ± 5,13. Age, total LN, MLN number and postoperative stage were significant in the univariate analysis for survival. Independent predictors of survival in multivariate analysis were age (p=0,019), postoperative stage (p=0,039), and MLN (p=0,003).
Conclusions: LN metastasis is a prognostic feature in patients by means of colon cancer. It could not be changed independent of a number of prognostic factors, such as age, but LN number was dependent on operation in right colon cancer surgery. LN yields have been linked to improved survival and its determination is reliant on both the surgeon and the pathologist.

Key words: Right colon cancer, survi, prognosis


 
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How to Cite this Article
Pubmed Style

Ince M, Ersoz N, Can MF, Yagci G, Demirbas S, Ozerhan IH, Peker Y. Prognostic factors affecting overall survival in right colon cancer. Arch Clin Exp Surg. 2017; 6(1): 17-32. doi:10.5455/aces.20160324070726


Web Style

Ince M, Ersoz N, Can MF, Yagci G, Demirbas S, Ozerhan IH, Peker Y. Prognostic factors affecting overall survival in right colon cancer. http://www.ejmaces.com/?mno=211037 [Access: February 25, 2018]. doi:10.5455/aces.20160324070726


AMA (American Medical Association) Style

Ince M, Ersoz N, Can MF, Yagci G, Demirbas S, Ozerhan IH, Peker Y. Prognostic factors affecting overall survival in right colon cancer. Arch Clin Exp Surg. 2017; 6(1): 17-32. doi:10.5455/aces.20160324070726



Vancouver/ICMJE Style

Ince M, Ersoz N, Can MF, Yagci G, Demirbas S, Ozerhan IH, Peker Y. Prognostic factors affecting overall survival in right colon cancer. Arch Clin Exp Surg. (2017), [cited February 25, 2018]; 6(1): 17-32. doi:10.5455/aces.20160324070726



Harvard Style

Ince, M., Ersoz, N., Can, M. F., Yagci, G., Demirbas, S., Ozerhan, I. H. & Peker, Y. (2017) Prognostic factors affecting overall survival in right colon cancer. Arch Clin Exp Surg, 6 (1), 17-32. doi:10.5455/aces.20160324070726



Turabian Style

Ince, Mehmet, Nail Ersoz, Mehmet Fatih Can, Gokhan Yagci, Sezai Demirbas, Ismail Hakki Ozerhan, and Yusuf Peker. 2017. Prognostic factors affecting overall survival in right colon cancer. Archives of Clinical and Experimental Surgery (ACES), 6 (1), 17-32. doi:10.5455/aces.20160324070726



Chicago Style

Ince, Mehmet, Nail Ersoz, Mehmet Fatih Can, Gokhan Yagci, Sezai Demirbas, Ismail Hakki Ozerhan, and Yusuf Peker. "Prognostic factors affecting overall survival in right colon cancer." Archives of Clinical and Experimental Surgery (ACES) 6 (2017), 17-32. doi:10.5455/aces.20160324070726



MLA (The Modern Language Association) Style

Ince, Mehmet, Nail Ersoz, Mehmet Fatih Can, Gokhan Yagci, Sezai Demirbas, Ismail Hakki Ozerhan, and Yusuf Peker. "Prognostic factors affecting overall survival in right colon cancer." Archives of Clinical and Experimental Surgery (ACES) 6.1 (2017), 17-32. Print. doi:10.5455/aces.20160324070726



APA (American Psychological Association) Style

Ince, M., Ersoz, N., Can, M. F., Yagci, G., Demirbas, S., Ozerhan, I. H. & Peker, Y. (2017) Prognostic factors affecting overall survival in right colon cancer. Archives of Clinical and Experimental Surgery (ACES), 6 (1), 17-32. doi:10.5455/aces.20160324070726





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