Abstract
A pathologist (K.S.) reviewed histologic slides for peritoneal involvement by tumor cells for 118 patients with stage II colon cancer. Patients were followed up for a median of 6 years. Tumor cells were found free in the peritoneal space in 16 cases (13.6%). The presence of cancer cells free in the peritoneal space was associated with lymphovascular invasion (P = .001) and neural invasion (P <.001). The overall 5-year survival was 80% in the patient population, but was 39% and 86% for those with and without tumor cells free in the peritoneal space, respectively (P <.0001). Multivariate analysis confirmed that free tumor cells within the peritoneal space (P <.0001) and lymphovascular invasion (P = .007) were related independently to outcome. Peritoneal involvement with tumor cells free in the peritoneal space in stage II colon cancer is a powerful indicator of outcome; patients have a survival similar to that for patients with stage III disease.
Original language | English (US) |
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Pages (from-to) | 108-113 |
Number of pages | 6 |
Journal | American Journal of Clinical Pathology |
Volume | 119 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2003 |
Externally published | Yes |
Keywords
- Clinicopathologic staging
- Colorectal cancer
- Dukes B
- Local peritoneal involvement
- Lymph node-negative
- Peritoneum
- Prognosis
- Stage II
- Survival
- T4
- TNM
ASJC Scopus subject areas
- Pathology and Forensic Medicine