Prognosis of Colon Cancer. Clinical and Pathological-anatomical Factors Concerned With Radical Surgery
1. Radical surgery. A detailed description of procedures for each location of tumor in the
large intestine is used. By following a given procedure for each location in the large
intestine, the number of lymph nodes can be analyzed for each location to find out if
this differs and if prognosis is affected by lymph node numbers according to tumor
2. Markers. Different variables are examined for use in clinical judgment to make
treatment better as well as genetic experimental analyses for comparison with clinical
outcome to better understanding of clinical behavior.
3. Laparoscopic resections. The technical challenge of laparoscopic approach has been
compared with conventional surgery without any difference being observed in trials.
However, it should be compared with radical open surgery to compare best achievements
by using number of lymph nodes as well as outcome measures in the short and long term
4. Comorbidity, old age itself, type of surgery and perioperative care according to the so
called fast track surgery may all play a part in reducing perioperative morbidity and
mortality. A maximum 3% mortality should be aimed for.
5. Colon cancer usually metastasize to the liver and lungs. Surgical treatment of liver
metastases has been extensively studied and the prognosis has improved. Lung metastases
has not been given similar attention but the prognosis of those operated may be good
and equal that after liver surgery. The need for pulmonary resection and factors
associated with metastases and lung metastases in particular will be studied.
Observational Model: Case Control, Time Perspective: Prospective
3-year disease free survival (DFS)
2007/10 - 2010/13
Karl Sondenaa, MD, PhD
Haraldsplass Deaconal Hospital, University of Bergen, Norway
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