Table 3. Influence of different clinical and pathological factors on 5-year DFS and OS.
Variable | No. of All patients | Local Recurrence | Distant Metastasis | All Failure | 5-Years DFS Rate | P | 5-Year OS Rate | P | |||
---|---|---|---|---|---|---|---|---|---|---|---|
No. | % | No. | % | No. | % | ||||||
4121 | 351 | 8.5% | 973 | 23.6% | 1215 | 29.5% | 69.5% | 75.2% | |||
Gender | |||||||||||
Male | 2352 | 219 | 9.3% | 553 | 23.5% | 713 | 30.3% | 68.7% | 0.081 | 74.9% | 0.762 |
Female | 1769 | 132 | 7.5% | 420 | 24.7% | 502 | 29.4% | 70.6% | 75.5% | ||
Age, year | |||||||||||
≤60 | 2312 | 173 | 7.5% | 535 | 24.1% | 652 | 29.2% | 71.5% | 0.087 | 78.0% | <0.0001 |
>60 | 1809 | 178 | 9.8% | 438 | 24.2% | 563 | 31.1% | 66.9% | 71.5% | ||
Tumor location | |||||||||||
Colon | 1449 | 34 | 2.3% | 364 | 25.1% | 381 | 26.3% | 73.2% | 0.065 | 76.1% | 0.132 |
Rectum | 2671 | 317 | 11.9% | 609 | 22.8% | 834 | 31.2% | 67.4% | 74.7% | ||
Tumor size, diameter | |||||||||||
≤5.0 cm | 2866 | 240 | 8.4% | 670 | 23.4% | 835 | 29.1% | 70.1% | 0.654 | 75.8% | 0.251 |
>5.0 cm | 1254 | 111 | 8.9% | 303 | 24.1% | 380 | 30.3% | 68.2% | 73.9% | ||
Preoperative CEA levels | |||||||||||
<5.0 ng/ml | 2479 | 98 | 8.4% | 463 | 18.7% | 610 | 24.6% | 75.0% | <0.0001 | 80.7% | <0.0001 |
≥5.0 ng/ml | 1161 | 198 | 8.0% | 401 | 34.5% | 454 | 39.1% | 58.6% | 64.3% | ||
Unknown | 481 | 55 | 11.4% | 109 | 22.7% | 151 | 31.4% | 67.0% | 72.0% | ||
Preoperative CA199 levels | |||||||||||
<29.0 u/ml | 2820 | 32 | 7.0% | 490 | 20.8% | 601 | 26.5% | 73.1% | <0.0001 | 81.3% | <0.0001 |
≥29.0 u/ml | 459 | 169 | 7.2% | 179 | 39.0% | 195 | 42.5% | 54.9% | 54.5% | ||
Unknown | 842 | 55 | 6.5% | 109 | 12.9% | 151 | 17.9% | 80.2% | 72.0% | ||
pT category (7th) | |||||||||||
pT 2 | 128 | 8 | 6.2% | 20 | 15.6% | 26 | 20.3% | 78.5% | <0.0001 | 82.8% | <0.0001 |
pT 3 | 2851 | 141 | 8.1% | 253 | 14.4% | 353 | 20.2% | 79.2% | 83.4% | ||
pT 4 | 2242 | 202 | 9.0% | 700 | 31.2% | 836 | 37.3% | 61.3% | 68.1% | ||
pN category (7th) | |||||||||||
pN 0 | 2070 | 106 | 5.1% | 252 | 12.2% | 332 | 16.0% | 83.6% | <0.0001 | 87.9% | <0.0001 |
pN 1a | 533 | 39 | 7.3% | 121 | 22.7% | 149 | 28.0% | 71.4% | 74.3% | ||
pN 1b | 539 | 43 | 8.0% | 187 | 34.7% | 215 | 39.1% | 57.8% | 64.8% | ||
pN 1c | 282 | 42 | 14.9% | 47 | 16.7% | 87 | 30.9% | 69.9% | 75.2% | ||
pN 2a | 374 | 56 | 15.0% | 171 | 45.7% | 207 | 55.3% | 39.5% | 50.1% | ||
pN 2b | 323 | 65 | 20.1% | 195 | 40.6% | 225 | 69.7% | 25.8% | 32.9% | ||
npN category | |||||||||||
npN 0 | 2070 | 106 | 5.1% | 252 | 12.2% | 332 | 16.0% | 83.6% | <0.0001 | 87.9% | <0.0001 |
npN 1a | 526 | 32 | 6.1% | 116 | 22.1% | 141 | 26.8% | 72.4% | 76.2% | ||
npN 1b | 629 | 51 | 8.1% | 179 | 28.5% | 207 | 22.9% | 65.6% | 69.1% | ||
npN 2a | 495 | 72 | 14.5% | 198 | 40.0% | 252 | 50.9% | 45.7% | 57.9% | ||
npN 2b | 401 | 90 | 22.4% | 228 | 56.9% | 283 | 60.6% | 26.0% | 37.1% | ||
Tumor deposits (TDs) | |||||||||||
Positive | 717 | 131 | 18.3% | 281 | 39.2% | 389 | 54.3% | 44.6% | <0.0001 | 57.7% | <0.0001 |
Negative | 3404 | 220 | 6.5% | 692 | 20.3% | 826 | 24.3% | 74.9% | 78.9% | ||
Venous invasion | |||||||||||
Yes | 268 | 47 | 17.5% | 136 | 50.7% | 157 | 58.6% | 36.8% | <0.0001 | 45.7% | <0.0001 |
No | 3853 | 304 | 7.9% | 837 | 21.7% | 1058 | 27.5% | 71.7% | 77.1% | ||
Lymphatic invasion | |||||||||||
Yes | 26 | 8 | 30.8% | 10 | 38.5% | 16 | 61.5% | 29.2% | <0.0001 | 35.6% | <0.0001 |
No | 4095 | 343 | 9.4% | 963 | 23.5% | 1199 | 29.3% | 69.8% | 75.4% | ||
Differentiation grade | |||||||||||
Well | 452 | 22 | 4.9% | 54 | 11.9% | 73 | 16.2% | 82.7% | <0.0001 | 88.2% | <0.0001 |
Moderately | 3213 | 275 | 8.6% | 725 | 22.6% | 922 | 28.7% | 70.4% | 75.8% | ||
Poorly | 456 | 54 | 11.8% | 194 | 42.5% | 220 | 48.2% | 50.0% | 57.8% | ||
Pathological category | |||||||||||
Papillary or tubular adenocarcinoma | 3856 | 325 | 8.4% | 888 | 23.0% | 1121 | 29.1% | 69.9% | <0.0001 | 75.9% | <0.0001 |
Mucinous adenocarcinoma | 220 | 20 | 9.1% | 63 | 28.6% | 68 | 30.9% | 68.2% | 70.1% | ||
Signet ring cell cancer | 45 | 6 | 13.7% | 22 | 49.9% | 26 | 57.8% | 40.8% | 41.5% | ||
Histological type | |||||||||||
Protrude | 2733 | 230 | 8.4% | 561 | 20.5% | 722 | 26.4% | 73.0% | <0.0001 | 78.5% | <0.0001 |
Ulcer | 1151 | 98 | 8.5% | 322 | 28.0% | 386 | 33.5% | 64.8% | 70.1% | ||
Infiltrative | 237 | 23 | 9.7% | 90 | 38.0% | 107 | 45.1% | 52.1% | 61.2% | ||
Adjuvant therapy | |||||||||||
Yes | 2796 | 228 | 8.2% | 672 | 24.0% | 825 | 29.5% | 70.1% | 0.361 | 76.7% | 0.002 |
No | 1325 | 123 | 9.3% | 301 | 22.7% | 390 | 29.4% | 68.2% | 71.8% |