Table 1.
Main prognostic factors in patients with lung metastases from colorectal cancer
Prognostic factor |
Overall survival
|
Disease-free survival
|
||
Favorable
|
Negative
|
Favorable
|
Negative
|
|
Number of metastases[23,68,71,76-78,86-90] | Single | Multiple | ||
Preoperative CEA level[61,69,86,87] | < 4-5 ng/mL | > 4-5 ng/mL | ||
pStage of CRC[71,79,86,87] | Local disease, low Tstage, absence of nodal involvement | Advanced p and T stage, nodal Involvement | ||
Lung metastases appearance[23,61,69-71,87,91] | Metachronous lung metastases | Bilateral lung synchronous metastasis, past history of extra thoracic metastasis | Long DFI between CRC and first detection of pulmonary metastasis | Synchronous pulmonary metastasis and CRC |
Pulmonary metastasis derivation from primary site of CRC[64] | Right colon | Left colon or rectum | Not investigated | Not investigated |
Lung metastasis size (cm)[61,69,78,79] | < 2 cm | > 2 cm | Not investigated | Not investigated |
Mediastinal lymph node metastasis[23,69,89] | Negative | Positive | Not investigated | Not investigated |
Metabolic characteristics[61,79] | Lung metastasis PET negative | Lung metastasis PET positive | Lung metastasis PET negative | Lung metastasis PET positive |
Distance between lesion and resection margin (cm)[79] | > 2 cm | < 2 cm | Not investigated | Not Investigated |
CRC: Colorectal cancer; CEA: Carcinoembryonic antigen; DFI: DNA fragmentation index; PET: Positron emission tomography.