A Scoring System to Predict the Development of Bone Metastasis After Radical Resection of Colorectal Cancer.

Abstract:

BACKGROUND/AIM:To develop a scoring system to predict bone metastasis after radical resection within 5 years. PATIENTS AND METHODS:We evaluated the patient records of 1,749 patients, of whom 50 patients developed bone metastasis. Treatment-related factors (age, gender, localization, histology, preoperative carbohydrate antigen 199 level, T-stage, lymph node metastasis (LN) and pulmonary metastasis (PM)) were analyzed. RESULTS:We found three independent risk factors, namely rectal cancer (p=0.038), LN (p=0.006) and metachronous PM (p<0.001). Scoring was conducted by adding zero or one point from each variable and resulted in four groups of 0, 1, 2 or 3 points. Three groups were formed, with 0-1 points vs. 2 points vs. 3 points (1.5% vs. 6.6% and 10.5%, p<0.001). CONCLUSION:This new score can help clinicians identify patients at risk for continuous monitoring and optimize surveillance to be able to detect and treat bone metastases very early in order to avoid skeletal complications.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Li A,Käsmann L,Rades D,Fu C

doi

10.21873/anticanres.11938

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

5169-5172

issue

9

eissn

0250-7005

issn

1791-7530

pii

37/9/5169

journal_volume

37

pub_type

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