Clinical and Histopathologic Features of 35 Patients Treated for Colorectal Peritoneal Metastases Who Survived 5 Years. (Record no. 11616)

MARC details
000 -LEADER
fixed length control field 03817nam a22005057a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 230411s20232023 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0012-3706
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 00003453-990000000-00270 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/DCR.0000000000002448 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36856661
245 ## - TITLE STATEMENT
Title Clinical and Histopathologic Features of 35 Patients Treated for Colorectal Peritoneal Metastases Who Survived 5 Years.
251 ## - Source
Source Diseases of the Colon & Rectum. 2023 Feb 28
252 ## - Abbreviated Source
Abbreviated source Dis Colon Rectum. 2023 Feb 28
253 ## - Journal Name
Journal name Diseases of the colon and rectum
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Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Feb 28
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
266 ## - Date added to catalog
Date added to catalog 2023-04-11
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1997 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Currently, patients with a limited extent of peritoneal metastases from colon and rectal cancer are treated by cytoreductive surgery combined with perioperative chemotherapy performed at experienced centers.
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Abstract CONCLUSIONS: The tumor biology as revealed by lymph node status and tumor differentiation plus extent of disease as measured by the response to neoadjuvant chemotherapy, peritoneal cancer index and no visible residual disease indicated a favorable outcome. See Video Abstract at http://links.lww.com/DCR/C62. Copyright © The ASCRS 2023.
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Abstract DESIGN: This is a retrospective review of a prospective database.
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Abstract LIMITATIONS: The study was limited by the retrospective nature, by unmeasured confounders, and data from a single institution.
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Abstract MAIN OUTCOME MEASURES: The primary outcomes measured were the clinical-, histologic- and treatment-related features that had an impact on 5-year survival.
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Abstract OBJECTIVE: To study and statistically evaluate features that may impact on survival of 5 years or more. These data are used in the risk/benefit analyses performed by the multidisciplinary team.
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Abstract PATIENTS: All patients who had biopsy-proven colon or rectal peritoneal metastases treated by systemic chemotherapy, complete cytoreductive surgery and perioperative surgery.
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Abstract RESULTS: From 131 patients who had a complete cytoreduction, 35 patients (26.7%) were identified as 5-year survivors. Median survival was 27 months. There were 16 males. Median age was 50.5 with a range of 25 to 80. By univariant analysis, an absence of lymph node involvement at the time of primary colorectal cancer resection (HR 1.899 (1.064, 3.388) p = 0.03), complete or near complete response to neoadjuvant chemotherapy (HR 0.251 (0.092, 0.684) p = 0.007), peritoneal cancer index <=17 (HR 0.509 (0.329, 0.788) p = 0.002), complete visible resection of disease indicated by completeness of cytoreduction score of 0 (HR 0.412 (0.224, 0.756) p = 0.004) and well-differentiated tumor (HR 0.34 (0.157, 0.737) p = 0.006) were significantly associated with 5 years or greater survival.
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Abstract SETTINGS: Single institution study at an academic center.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Washington Cancer Institute
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Department MedStar General Surgery Residency
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Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
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Medline publication type Journal Article
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Local Authors Desale, Sameer
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Ghabra, Shadin
Institution Code MGUH
Program MedStar General Surgery Residency
Degree MBBS
Resident year Research
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sugarbaker, Paul H
Institution Code WCI
790 ## - Authors
All authors Ghabra S, Desale S, Sugarbaker PH
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/DCR.0000000000002448">https://dx.doi.org/10.1097/DCR.0000000000002448</a>
Public note https://dx.doi.org/10.1097/DCR.0000000000002448
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 04/11/2023   04/11/2023 04/11/2023 Journal Article

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