Does primary site of colorectal cancer become a prognostic factor of patients undergoing curative resection of liver metastases?

Authors

null

Rika Kizawa

Department of Oncology, Yokohama City University, Yokohama, Japan

Rika Kizawa , Yasushi Ichikawa , Fumitaka Kumamoto , Yu Sawada , Ryusei Matsuyama , Noritoshi Kobayashi , Ayumu Goto , Motohiko Tokuhisa , Atsushi Ishibe , Masashi Momiyama , Yusuke Suwa , Yukihiko Hiroshima , Kenichi Matsuo , Mitsuyoshi Ota , Hirotoshi Akiyama , Takeharu Yamanaka , Kuniya Tanaka , Itaru Endo

Organizations

Department of Oncology, Yokohama City University, Yokohama, Japan, Department of Gastroenterological Surgery, Yokohama City University, Yokohama, Japan, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan, Department of Biostatistics,, Yokohama City University, Yokohama, Japan, Teikyo University Medical Center, Tokyo, Japan

Research Funding

Other Foundation

Background: The comparison of prognosis between right and left-sided colon cancer (RC, LC) has recently attracted a lot of attention. We examined whether primary location of colo-rectal cancer represents a prognostic factor of patients received curative resection of liver metastasis. Methods: We reviewed all patients undergoing resection of liver metastasis of colo-rectal cancer from1992 to 2013 in the 2 YCU hospitals, and selected eligible 377 patients (59 [15.6 %] with RC, 318 [84.4 %] with LC) undergoing R0 or 1 resection of primary and metastatic lesions. Patients with transverse colon cancer were excluded. We stratified patients according to previously-reported prognostic factors of hepatic metastasis resection, and conducted univariate analysis by Log Rank test to compared overall survival (OS) in each stratum. Using those results, independent factors affecting OS were determined by multivariable Cox regression. Results: The median OS of 377 patients was 66 months, and disease free survival (DFS) was 11.6 months. Univariate analysis revealed that the number and maximum diameter of liver metastasis, existence of other metastasis apart from liver, CEA, and having pre- or post- operative chemotherapy showed significant difference of OS. Primary site did not show significant difference of OS (p = 0.547), but median OS of LC (67 months) was 24 months longer than of RC. As for DFS, there was no significant difference between RC and LC (10.75 vs. 11.6 months, p = 0.873). Multivariate Cox regression analysis was conducted using former factors showing significant difference and primary site. Then primary site was an independent prognostic factor (p = 0.047). LC showed a lower risk than RC (HR: 0.675). Conclusions: The primary site did not affect DFS, but could become a prognostic factor of OS with patients undergoing curative resection of liver metastases. It suggested that curative resection of liver metastases could contribute to prolong survival, regardless of RC or LC. And there is some possibility that the primary site affects prognosis after post-operative recurrence of colo-rectal cancer liver metastases.

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Abstract Details

Meeting

2017 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Multidisciplinary Treatment

Citation

J Clin Oncol 35, 2017 (suppl 4S; abstract 772)

DOI

10.1200/JCO.2017.35.4_suppl.772

Abstract #

772

Poster Bd #

M16

Abstract Disclosures

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