Table 1.
Influences of Various Clinical and Pathologic Risk Factors on Overall Patient and Tumor-Free Survival
Characteristic | n | Overall patient survival |
Tumor-free survival |
||||||
---|---|---|---|---|---|---|---|---|---|
3 y (%) | 5 y (%) | 10 y (%) | P Value | 3 y (%) | 5 y (%) | 10 y (%) | P Value | ||
Patient | |||||||||
Gender | |||||||||
Male | 178 | 49.3 | 33.5 | 24.7 | NS | 34.9 | 28.2 | 24.7 | <0.03 |
Female | 127 | 47.1 | 30.5 | 23.3 | 26.4 | 15.7 | 13.5 | ||
Age (y) | |||||||||
≤60 | 143 | 51.5 | 36.5 | 28.6 | NS | 32.1 | 23.8 | 21.0 | NS |
> 60 | 162 | 46.6 | 28.2 | 19.0 | 30.5 | 22.3 | 18.8 | ||
Primary tumor | |||||||||
Site | |||||||||
Rectum | 78 | 50.1 | 40.5 | 31.1 | NS | 37.6 | 26.0 | 21.4 | NS |
Left colon | 156 | 50.8 | 30.9 | 20.0 | 31.5 | 22.0 | 18.6 | ||
Right colon | 71 | 41.2 | 26.4 | 24.2 | 23.6 | 21.6 | 21.6 | ||
Dukes classification | |||||||||
A + B | 75 | 60.3 | 44.9 | 31.5 | NS | 39.9 | 28.8 | 28.8 | < 0.06 |
C | 141 | 42.8 | 27.4 | 21.5 | 27.4 | 19.9 | 18.8 | ||
D (synchronous) | 89 | 47.1 | 28.6 | 20.9 | 30.4 | 22.8 | 14.7 | ||
Dukes classification | |||||||||
A + B | 75 | 60.3 | 44.9 | 31.5 | < 0.053 | 39.9 | 28.8 | 28.8 | < 0.002 |
C + D | 230 | 44.6 | 28.1 | 21.8 | 28.4 | 20.9 | 16.8 | ||
Lymph node | |||||||||
Negative | 148 | 56.9 | 36.8 | 27.3 | < 0.03 | 35.9 | 25.9 | 24.7 | < 0.02 |
Positive | 154 | 39.9 | 27.7 | 21.3 | 26.7 | 20.5 | 16.6 | ||
Hepatic metastases | |||||||||
Interval (mo) | |||||||||
≤ 12 | 132 | 48.8 | 28.7 | 25.1 | NS | 28.8 | 24.0 | 21.9 | NS |
12–24 | 77 | 38.8 | 30.9 | 20.7 | 25.1 | 19.7 | 17.5 | ||
25–36 | 42 | 48.1 | 40.5 | 21.6 | 34.2 | 15.4 | 7.7 | ||
36–48 | 22 | 65.7 | 23.6 | 23.6 | 40.0 | 21.0 | 21.0 | ||
> 48 | 32 | 58.2 | 45.8 | 32.8 | 47.0 | 37.6 | 32.3 | ||
Interval (mo) | |||||||||
≤ 30 | 235 | 44.6 | 29.9 | 22.5 | < 0.04 | 27.6 | 20.9 | 18.2 | < 0.01 |
> 30 | 70 | 61.4 | 40.1 | 29.6 | 43.3 | 29.3 | 26.4 | ||
No. of tumors | |||||||||
1 | 137 | 57.3 | 41.4 | 32.3 | < 0.001 | 40.9 | 33.1 | 31.0 | < 0.0001 |
2 | 75 | 50.6 | 37.6 | 24.9 | 35.0 | 22.8 | 17.8 | ||
3 | 31 | 38.4 | 11.7 | – | 19.4 | 14.5 | – | ||
≥ 4 | 62 | 31.4 | 16.1 | 10.7 | 11.9 | 5.0 | – | ||
No. of tumors | |||||||||
1–2 | 212 | 55.0 | 40.2 | 29.8 | < 0.0001 | 38.8 | 29.4 | 26.3 | < 0.0001 |
≥ 3 | 93 | 33.8 | 14.6 | 11.2 | 14.4 | 8.1 | – | ||
Size (cm) | |||||||||
≤ 2 | 15 | 58.2 | 43.6 | 29.1 | NS | 46.7 | 46.7 | 46.7 | NS |
2–5 | 152 | 51.0 | 32.0 | 23.4 | 31.8 | 25.1 | 21.7 | ||
5–10 | 102 | 45.8 | 34.4 | 26.3 | 29.6 | 17.7 | 15.8 | ||
> 10 | 31 | 39.9 | 20.7 | 15.4 | 27.8 | 17.4 | 11.6 | ||
Size (cm) | |||||||||
≤ 8 | 257 | 50.9 | 34.6 | 25.5 | < 0.03 | 33.5 | 24.9 | 22.0 | < 0.02 |
> 8 | 48 | 34.7 | 19.3 | 16.1 | 18.8 | 11.7 | 7.8 | ||
Distribution | |||||||||
Unilobar | 200 | 56.0 | 39.2 | 29.2 | < 0.0001 | 38.0 | 28.7 | 26.0 | <0.0001 |
Bilobar | 105 | 33.8 | 18.9 | 13.9 | 18.2 | 11.7 | 8.9 | ||
Node metastasis | |||||||||
No | 296 | 49.5 | 32.9 | 24.5 | < 0.007 | 31.9 | 23.4 | 20.4 | < 0.05 |
Yes | 9 | 11.1 | – | – | 11.1 | – | – | ||
Metastasis | |||||||||
No | 273 | 51.1 | 34.6 | 26.2 | < 0.0001 | 34.5 | 25.3 | 22.9 | < 0.0001 |
Yes | 32 | 20.8 | 5.5 | 0 | 0 | 0 | 0 | ||
Differentiation | |||||||||
Grade 1 | 59 | 50.4 | 39.6 | 32.1 | NS | 39.4 | 28.1 | 28.1 | NS |
Grade 2 | 239 | 48.1 | 30.2 | 21.8 | 29.2 | 22.0 | 17.4 | ||
Grade 3 | 7 | 42.9 | 28.6 | – | 28.6 | 14.3 | 0 | ||
Surgery | |||||||||
Margin | |||||||||
> 1 cm | 130 | 54.2 | 38.4 | 26.7 | < 0.003 | 38.5 | 28.9 | 27.0 | < 0.0008 |
≤ 1 cm | 147 | 48.4 | 31.4 | 25.8 | 30.2 | 22.2 | 18.1 | ||
Involved | 28 | 20.9 | 8.4 | 0 | 4.8 | 0 | 0 | ||
Resection | |||||||||
Multiple wedges | 20 | 38.9 | 13.0 | 0 | < 0.03 | 16.0 | 0 | 0 | < 0.006 |
More than lobe | 85 | 33.3 | 21.1 | 19.3 | 17.1 | 15.4 | 13.7 | ||
Lobectomy | 158 | 54.7 | 37.2 | 25.3 | 36.6 | 24.8 | 22.9 | ||
Less than lobe | 42 | 57.5 | 40.6 | 34.8 | 41.1 | 37.6 | 26.9 | ||
Adjuvant therapy | |||||||||
No | 103 | 44.4 | 33.6 | 23.0 | NS | 33.4 | 24.2 | 24.2 | NS |
Yes | 202 | 50.4 | 31.3 | 24.5 | 30.3 | 22.4 | 18.2 | ||
Surgery for recurrence | |||||||||
No | 197 | 27.0 | 7.7 | 0.9 | < 0.0001 | 8.6 | 2.5 | 0 | < 0.002 |
Yes | 32 | 87.5 | 77.2 | 52.2 | 30.2 | 6.7 | 3.4 |