The lung excises the skill and treats the rectal cancer lung and shifts _'s general knowledge
Located in Hyogo medical center of bright stone of Japan the intersection of Toshihiko Sakamoto and Dr.,et al. publishes the article on the " thorax " magazine, think the lung excises the life that the skill can lengthen some patients.
Until 47 59 the intersection of rectal cancer and thoracic cage that lung shift of patient cut skill, go on, analyze between December of 1999 and the will it be September 1986 they, disease one (disease-free interval, DFI) does not found finally the rectum excised skill and lung and excised between the skills China value is 33 months. Total mortality is 48% in 5. The single shot lung is shifted (n =30)Survival rate is 51% in 5, the single side occurs frequently the lung is shifted (n =11)Survival rate is 47% in 5, dual sides occur frequently the lung is shifted (n =6)Survival rate is 50% in 5, the three do not have significance difference. 14 DFI lower than patient for 2 year survival rate 80.8% 5 year, 30 DFI greater than patient for 2 survival rate is 39.7% in 5. 11 cases of embryo antigen of cancer (CEA) before making chest skill Normal patient survival rate 70% 5 year, 26 turn on the intersection of chest and embryo antigen of cancer (CEA) in front of the skill Raised patient ( gt; 5 ng/mL) Survival rate is 36% in 5, the two difference is obvious.
They still find, have illness that 8 example patients appear beyond the chest. The value is 18.5 months that the lung is excised in the postoperative time of surviving, survival rate is 60% in 5. 5 patient, because of shift tumour, recur, carry on the second lung excise skill, 1 patient go on lung 3 times excise skill, these 6 patients survive. 5 two patient of surgery survive for time as 22 months on average ' 2-68 months) ,A patient survives for 39 months after accept the 3rd operation.
Author think rectal cancer even patient take place pairs of the intersection of side and lung shift, shift tumour, recur or take place disease beyond the chest, it still contributes to lengthening the life that the lung excises the skill. CEA is an important prognostic index before the skill.
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