Tumor size is associated with the systemic inflammatory response but not survival in patients with primary operable colorectal cancer

被引:37
作者
Crozier, Joseph Em [1 ]
McMillan, Donald C. [1 ]
McArdle, Colin S. [1 ]
Angerson, Wilson J. [1 ]
Anderson, John H. [1 ]
Horgan, Paul G. [1 ]
Mckee, Ruth F. [1 ]
机构
[1] Royal Infirm, Univ Dept Surg, Glasgow G31 2ER, Lanark, Scotland
关键词
colorectal cancer; C-reactive protein; TNM stage; tumor diameter;
D O I
10.1111/j.1440-1746.2006.04792.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim: To examine the relationship between tumor diameter, C-reactive protein concentrations and survival in patients undergoing surgery for colorectal cancer. Method: Tumor diameter and pathological characteristics of the resected specimen were assessed in 227 patients. Circulating concentrations of C-reactive protein were measured prior to surgery. Results: Ninety-six patients had an elevated C-reactive protein concentration (> 10 mg/L) prior to surgery. Tumor size was associated with an elevated C-reactive protein concentration (P < 0.001). C-reactive protein concentrations (P < 0.001) were associated with poorer cancer-specific survival. Conclusion: Prior to surgery, the maximal tumor diameter is associated with an elevated preoperative C-reactive protein concentration but not survival in patients with primary operable colorectal cancer.
引用
收藏
页码:2288 / 2291
页数:4
相关论文
共 12 条
[1]  
[Anonymous], AJCC CANC STAGING MA
[2]   The relationship between tumour T-lymphocyte infiltration, the systemic inflammatory response and survival in patients undergoing curative resection for colorectal cancer [J].
Canna, K ;
McArdle, PA ;
McMillan, DC ;
McNicol, AM ;
Smith, GW ;
McKee, RF ;
McArdle, CS .
BRITISH JOURNAL OF CANCER, 2005, 92 (04) :651-654
[3]   Evaluation of a cumulative prognostic score based on the systemic inflammatory response in patients undergoing potentially curative surgery for colorectal cancer [J].
Canna, K ;
McMillan, DC ;
McKee, RF ;
McNicol, AM ;
Horgan, PG ;
McArdle, CS .
BRITISH JOURNAL OF CANCER, 2004, 90 (09) :1707-1709
[4]   Serum C-reactive protein correlates with survival in colorectal cancer patients but is not an independent prognostic indicator [J].
Chung, YC ;
Chang, YF .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2003, 15 (04) :369-373
[5]   Outcome following surgery for colorectal cancer: analysis by hospital after adjustment for case-mix and deprivation [J].
McArdle, CS ;
Hole, DJ .
BRITISH JOURNAL OF CANCER, 2002, 86 (03) :331-335
[6]   A PROSPECTIVE-STUDY OF TUMOR RECURRENCE AND THE ACUTE-PHASE RESPONSE AFTER APPARENTLY CURATIVE COLORECTAL-CANCER SURGERY [J].
MCMILLAN, DC ;
WOTHERSPOON, HA ;
FEARON, KCH ;
STURGEON, C ;
COOKE, TG ;
MCARDLE, CS .
AMERICAN JOURNAL OF SURGERY, 1995, 170 (04) :319-322
[7]   Systemic inflammatory response predicts survival following curative resection of colorectal cancer [J].
McMillan, DC ;
Canna, K ;
McArdle, CS .
BRITISH JOURNAL OF SURGERY, 2003, 90 (02) :215-219
[8]   Preoperative plasma plasminogen activator inhibitor type-1 and serum C-reactive protein levels in patients with colorectal cancer [J].
Nielsen, HJ ;
Christensen, IJ ;
Sorensen, S ;
Moesgaard, F ;
Brünner, N .
ANNALS OF SURGICAL ONCOLOGY, 2000, 7 (08) :617-623
[9]   Significance of preoperative elevation of serum C-reactive protein as an indicator for prognosis in colorectal cancer [J].
Nozoe, T ;
Matsumata, T ;
Kitamura, M ;
Sugimachi, K .
AMERICAN JOURNAL OF SURGERY, 1998, 176 (04) :335-338
[10]   Preoperative elevation of serum C-reactive protein is related to impaired immunity in patients with colorectal cancer [J].
Nozoe, T ;
Matsumata, T ;
Sugimachi, K .
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 2000, 23 (03) :263-266