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. 2022 Apr 15;14(4):820–832. doi: 10.4251/wjgo.v14.i4.820

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.