論文

査読有り 筆頭著者 責任著者 国際誌
2021年4月27日

Locoregional recurrence via mucus-mediated extension following lung resection for mucinous tumors.

BMC cancer
  • Yo Kawaguchi
  • ,
  • Jun Hanaoka
  • ,
  • Yasuhiko Ohshio
  • ,
  • Keigo Okamoto
  • ,
  • Ryosuke Kaku
  • ,
  • Kazuki Hayashi
  • ,
  • Takuya Shiratori
  • ,
  • Akira Akazawa
  • ,
  • Mitsuaki Ishida

21
1
開始ページ
470
終了ページ
470
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s12885-021-08231-7

BACKGROUND: Clinically, locoregional recurrences following mucinous tumor resection are often experienced. However, it remains unclear whether mucinous tumors directly affect local recurrence or not, and if so, the mechanism is not known. Therefore, we investigated whether mucinous tumors are associated with locoregional recurrence after pulmonary resection and whether mucus extension is a risk factor for locoregional recurrence. METHODS: The data of 152 patients who underwent pulmonary resection for metastases were reviewed. When mucus was partially or wholly present in the tumor based on macro- or microscopic identification, we assigned the tumor as mucinous. In mucinous tumors, when mucus was identified within the air spaces in the normal lung parenchyma, beyond the edge of the tumor, we assigned the tumor as positive for "mucus extension." RESULTS: The 5-year cumulative incidence of locoregional recurrence in patients with mucinous tumors was 48.1%, which was significantly higher than that observed in those with non-mucinous tumors (14.9%). Within the mucinous tumor, the presence of mucus extension beyond the tumor edge was an independent risk factor for locoregional recurrence after pulmonary resection (hazard ratio, 5.52; P = 0.019). CONCLUSIONS: During the resection of mucinous cancer, surgeons should maintain sufficient distance from the tumor edge to prevent locoregional recurrences.

リンク情報
DOI
https://doi.org/10.1186/s12885-021-08231-7
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33906634
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8080361
ID情報
  • DOI : 10.1186/s12885-021-08231-7
  • PubMed ID : 33906634
  • PubMed Central 記事ID : PMC8080361

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