Prognostic factors for survival and disease-free survival in hepatic metastases from colorectal cancer treated by resection

Tumori. 1995 May-Jun;81(3 Suppl):143-6.

Abstract

The prognostic factors of 219 patients submitted to Ro hepatic resection for colorectal metastases have been statistically analyzed. The overall 5-year actuarial survival rate was 24% and the 5-year disease-free survival rate was 18%. At univariate analysis four variables resulted significant: 1) The stage of primary colorectal cancer: if the meserentic lymph nodes were metastatic (Dukes C) or uninvolved (Dukes B) 5-year survival was respectively 16 and 38% (p < 0.001). 2) The percentage of hepatic replacement: the 5-year survival rate of patients with H1 (< 25%), H2 (25-50%) and H3 (> 50%) was 27, 16 and 8% respectively (p < 0.001). 3) The number of metastases: the 5-year survival of patients with 1, 2-3, > 3 hepatic nodules was 29, 21 and 17% respectively (p < 0.05). 4) The extent of surgical resection: 5-year survival after minor and major resection was 28 and 18% respectively (p < 0.05). At multivariate analysis only stage of primary and percentage of hepatic replacement retained statistical significance. In 60% of 154 patients with recurrent disease the liver was again involved.

MeSH terms

  • Analysis of Variance
  • Colorectal Neoplasms / pathology*
  • Colorectal Neoplasms / surgery*
  • Disease-Free Survival
  • Female
  • Humans
  • Life Tables
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery*
  • Male
  • Multivariate Analysis
  • Prognosis
  • Proportional Hazards Models
  • Risk Factors
  • Survival Analysis