The Resection Rate of Synchronously Detected Liver and Lung Metastasis from Colorectal Cancer Is Low-A National Registry-Based Study.

colorectal cancer incidence liver metastases lung metastases synchronous metastases treatment

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
23 Feb 2023
Historique:
received: 27 01 2023
revised: 21 02 2023
accepted: 22 02 2023
entrez: 11 3 2023
pubmed: 12 3 2023
medline: 12 3 2023
Statut: epublish

Résumé

Population-based data on the incidence and surgical treatment of patients with colorectal cancer (CRC) and synchronous liver and lung metastases are lacking as are real-life data on the frequency of metastasectomy for both sites and outcomes in this setting. This is a nationwide population-based study of all patients having liver and lung metastases diagnosed within 6 months of CRC between 2008 and 2016 in Sweden identified through the merging of data from the National Quality Registries on CRC, liver and thoracic surgery and the National Patient Registry. Among 60,734 patients diagnosed with CRC, 1923 (3.2%) had synchronous liver and lung metastases, of which 44 patients had complete metastasectomy. Surgery of liver and lung metastases yielded a 5-year OS of 74% (95% CI 57-85%) compared to 29% (95% CI 19-40%) if liver metastases were resected but not the lung metastases and 2.6% (95% CI 1.5-4%) if non-resected,

Identifiants

pubmed: 36900225
pii: cancers15051434
doi: 10.3390/cancers15051434
pmc: PMC10000535
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Stockholm County Council
ID : clinical postdoctoral appointment 2020-2023
Organisme : Karolinska Institute
ID : Ruth and Richard Julin Foundation

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Auteurs

Jennie Engstrand (J)

Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Karolinska University Hospital, 141 86 Stockholm, Sweden.

Helena Taflin (H)

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, 413 45 Göteborg, Sweden.

Jenny Lundmark Rystedt (JL)

Department of Surgery, Skåne University Hospital, Lund University, 221 00 Lund, Sweden.

Oskar Hemmingsson (O)

Department of Surgical and Perioperative Sciences, Umeå University, 901 87 Umeå, Sweden.
Wallenberg Centre for Molecular Medicine, Umeå University, 901 87 Umeå, Sweden.

Jozef Urdzik (J)

Department of Surgical Sciences, Uppsala University, 752 36 Uppsala, Sweden.

Per Sandström (P)

Department of Surgery in Linköping, Linköping University, 581 83 Linköping, Sweden.
Department of Biomedical and Clinical Sciences, Linköping University, 581 83 Linköping, Sweden.

Bergthor Björnsson (B)

Department of Surgery in Linköping, Linköping University, 581 83 Linköping, Sweden.
Department of Biomedical and Clinical Sciences, Linköping University, 581 83 Linköping, Sweden.

Kristina Hasselgren (K)

Department of Surgery in Linköping, Linköping University, 581 83 Linköping, Sweden.
Department of Biomedical and Clinical Sciences, Linköping University, 581 83 Linköping, Sweden.

Classifications MeSH