Spécificités et valeur pronostique des N1c dans le cancer colorectal : une étude bi centrique sur 1122 cancers opérés entre 2011 et 2014

التفاصيل البيبلوغرافية
العنوان: Spécificités et valeur pronostique des N1c dans le cancer colorectal : une étude bi centrique sur 1122 cancers opérés entre 2011 et 2014
المؤلفون: Bouquot, Morgane
المساهمون: Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), Jérémie Lefèvre
المصدر: Médecine humaine et pathologie. 2017
بيانات النشر: HAL CCSD, 2017.
سنة النشر: 2017
مصطلحات موضوعية: N1c, Cancer colo-rectal, Dépôts tumoraux, MESH: Colorectal Neoplasms, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, Tumor deposit
الوصف: Background: the 7th edition of AJCC/TNM staging system individualized in colorectal cancers (CRC) the new nodal subclassification N1c, characterized by the presence of tumor deposit (TD) without any concurrent positive lymph node (LN). The incidence, the clinico-pathological characteristics and the prognostic value of N1c CRC are poorly known. Methods: all consecutive patients who underwent surgery for CRC in two French centers between 2011 and 2014 (n=1122) were included. Clinico-pathological parameters (including degree of differentiation, vascular emboli, perineural invasion and distant metastasis), as well as MSI status were analyzed. We compared 3-year overall survival (OS) and Disease Free Survival (DFS) of N1c patients versus other N category (N0, N1a and N1b) patients with CRC with similar T and M0 status. Results: our population study included 648 (57.8%) colonic cancers and 474 rectal cancers. N1c status was documented in 57 patients (5.1%). A N1c stage was significantly more frequently observed in rectal cancers (n=33; 57.9% vs. n=441; 41.4 %, p=0.029), and significantly more frequently associated with higher pathological tumoral stages (pT3-T4: n=55, 96.5% vs. n=788, 74.0%, p
اللغة: French
URL الوصول: https://explore.openaire.eu/search/publication?articleId=od______2592::fad52609e3d606fd3fe165e9453286ed
https://dumas.ccsd.cnrs.fr/dumas-01713709
رقم الانضمام: edsair.od......2592..fad52609e3d606fd3fe165e9453286ed
قاعدة البيانات: OpenAIRE