Table 2.
Pulmonary metastases characteristics in each group (initial and second pulmonary metastasectomy)
Characteristics | The initial pulmonary metastasectomy n = 126 |
The second pulmonary metastasectomy n = 26 |
p value | |
---|---|---|---|---|
Diagnosis period, n (%) |
Synchronous 41 (32.5) Metachronous 85 (67.5) |
– | – | |
Number of pulmonary metastasis, n (%) |
1: 89 (70.6) 2: 17 (13.5) 3: 12 (9.5) 4: 3 (2.4) 5: 2 (1.6) |
1: 16 (61.5) 2: 7 (26.9) 3: 1 (3.8) 4: 2 (7.7) |
0.36 | |
Solitary | 89 (70.6) | 16 (61.5) | 0.27 | |
Multiple | 34 (27.0) | 10 (38.5) | ||
Location, n (%) | Unilateral | 108 (85.7) | 23 (88.5) | 0.71 |
Bilateral | 18 (14.3) | 3 (11.5) | ||
Disease free interval (days), median [range] | 541.5 [0–4664] | 409 [27–1334] | 0.13 | |
Maximum tumor size (mm), median [range] | 12.0 [5–70] | 12.0 [8–40] | 1.00 | |
Mediastinal lymph node metastasis, n (%) |
Negative | 117 (92.9) | 25 (96.2) | 0.95 |
Positive | 5 (4.0) | 1 (3.8) | ||
Preoperative CEA level, n (%) | Normal | 86 (68.3) | 15 (57.7) | 0.61 |
Elevated | 36 (28.6) | 8 (30.8) | ||
Preoperative CA19-9 level, n (%) | Normal | 97 (77.0) | 21 (80.8) | 0.74 |
Elevated | 12 (9.5) | 2 (7.7) | ||
Chemotherapy before operation, n (%) | Yes | 28 (22.2) | 9 (34.6) | 0.09 |
No | 96 (76.2) | 15 (57.7) | ||
Chemotherapy after operation, n (%) | Yes | 40 (31.7) | 9 (34.6) | 0.50 |
No | 74 (58.7) | 12 (46.2) | ||
Recurrence after pulmonary metastasectomy, n (%) | Yes | 67 (53.2) | 17 (65.4) | 0.07 |
No | 59 (46.8) | 7 (26.9) | ||
Recurrent organ, n (%) |
Lung 47 (37.3) Liver 12 (9.5) Abdominal lymph node 6 (4.8) Pelvic local recurrence 6 (4.8) Bone 5 (4.0) Brain 5 (4.0) Peritoneal dissemination 3 (2.4) Pleural dissemination 2 (1.6) Bone marrow 1 (0.8) Adrenal 1 (0.8) |
Lung 13 (46.4) Pleural dissemination 2 (7.2) Thoracic lymph node 2 (7.2) Liver 1 (3.6) Bone 1 (3.6) Brain 1 (3.6) Pancreas 1 (3.6) |
CEA carcinoembryonic antigen level (normal upper limit at 5 ng/ml), CA19-9 carbohydrate antigen 19-9 level (normal upper limit at 37 ng/ml)
*p < 0.05; **p < 0.01; ***p < 0.001