[The surgical treatment and prognosis for recurrent colon cancer].
OBJECTIVE
To investigate the surgical treatment and prognosis for recurrent colon cancer after curative resection.


METHODS
The clinical data of 102 recurrent colon cancer cases from January 1997 to December 2005 were analyzed retrospectively. Obtained data were analyzed by Statistical Package for the Social Sciences (Release 11.5, SPSS, Inc). The related factors were underwent chi2 analysis,survival analysis were estimated using the Kaplan-Meier method and compared using the Log-rank test. COX regression was used in multivariate analysis.


RESULTS
Univariate analysis revealed that obstruction of primary tumors, CEA level before reoperation, number of recurrence, time of recurrence, and reoperation type were significant statistically. COX regression analysis revealed that number of recurrence, reoperation type was the most important prognostic factor.


CONCLUSIONS
The recurrent colon cancer still need active surgical treatment in order to prolong the survival time.
Che
Xu
X
Department of Abdominal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. dr_che@sina.com
Shan
Yi
Y
Cai
Jian-qiang
JQ
Zhou
Zhi-xiang
ZX
Zhao
Dong-bing
DB
Bi
Jian-jun
JJ
Shao
Yong-fu
YF
Zhao
Ping
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011379:Prognosis; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods / Q000706:statistics & numerical data