Colon cancer: association of histopathological parameters and patients' survival with clinical presentation.
To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. Available data correlating symptoms of colon cancer patients with the severity of the disease are very limited. In a population-based setting, we correlated information on symptoms...
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Online Access: | http://hdl.handle.net/2336/312256 https://doi.org/10.1111/apm.12109 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/312256 2023-05-15T16:49:08+02:00 Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. Alexiusdottir, Kristin K Snaebjornsson, Petur Tryggvadottir, Laufey Jonasson, Larus Olafsdottir, Elinborg J Björnsson, Einar Stefan Möller, Pall Helgi Jonasson, Jon G Univ Iceland, Fac Med, Reykjavik, Iceland, Landspitali Univ Hosp, Oncol Res Ctr, IS-101 Reykjavik, Iceland, Icelandic Canc Soc, Icelandic Canc Registry, Reykjavik, Iceland, Vrije Univ Amsterdam, Med Ctr, Dept Pathol, Amsterdam, Netherlands, Landspitali Univ Hosp, Dept Pathol, IS-101 Reykjavik, Iceland, Landspitali Univ Hosp, Dept Gastroenterol, IS-101 Reykjavik, Iceland, Landspitali Univ Hosp, Dept Surg, IS-101 Reykjavik, Iceland 2013 http://hdl.handle.net/2336/312256 https://doi.org/10.1111/apm.12109 en eng Wiley-Blackwell http://onlinelibrary.wiley.com/doi/10.1111/apm.12109/pdf APMIS 2013, 121(10):901-7 1600-0463 23654359 doi:10.1111/apm.12109 http://hdl.handle.net/2336/312256 APMIS : acta pathologica, microbiologica, et immunologica Scandinavica Archived with thanks to APMIS : acta pathologica, microbiologica, et immunologica Scandinavica Ristilkrabbamein Lífslíkur Abdominal Pain Adolescent Adult Aged 80 and over Anemia Colon Colonic Neoplasms Female Hemoglobins Humans Iceland Logistic Models Male Middle Aged Neoplasm Grading Neutrophil Infiltration Occult Blood Registries Retrospective Studies Survival Analysis Article 2013 ftlandspitaliuni https://doi.org/10.1111/apm.12109 2022-05-29T08:21:55Z To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. Available data correlating symptoms of colon cancer patients with the severity of the disease are very limited. In a population-based setting, we correlated information on symptoms of colon cancer patients with several pathological tumor parameters and survival. Information on all patients diagnosed with colon cancer in Iceland in 1995-2004 for this retrospective, population-based study was obtained from the Icelandic Cancer Registry. Information on symptoms of patients and blood hemoglobin was collected from patients' files. Pathological parameters were obtained from a previously performed standardized tumor review. A total of 768 patients entered this study; the median age was 73 years. Tumors in patients presenting at diagnosis with visible blood in stools were significantly more likely to be of lower grade, having pushing border, conspicuous peritumoral lymphocytic infiltration, and lower frequency of vessel invasion. Patients with abdominal pain and anemia were significantly more likely to have vessel invasion. Logistic regression showed that visible blood in stools was significantly associated with protecting pathological factors (OR range 0.38-0.83, p < 0.05). Tumors in patients presenting with abdominal pain were strongly associated with infiltrative margin and scarce peritumoral lymphocytic infiltration (OR = 1.95; 2.18 respectively, p < 0.05). Changes in bowel habits were strongly associated with vessel invasion (OR = 2.03, p < 0.05). Cox regression showed that blood in stools predicted survival (HR = 0.54). In conclusion, visible blood in stools correlates significantly with all the beneficial pathological parameters analyzed and with better survival of patients. Anemia, general symptoms, changes in bowel habits, acute symptoms, and abdominal pain correlate with more aggressive tumor characteristics and adverse outcome for patients. Landspitali - University Hospital Research ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive APMIS 121 10 901 907 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Ristilkrabbamein Lífslíkur Abdominal Pain Adolescent Adult Aged 80 and over Anemia Colon Colonic Neoplasms Female Hemoglobins Humans Iceland Logistic Models Male Middle Aged Neoplasm Grading Neutrophil Infiltration Occult Blood Registries Retrospective Studies Survival Analysis |
spellingShingle |
Ristilkrabbamein Lífslíkur Abdominal Pain Adolescent Adult Aged 80 and over Anemia Colon Colonic Neoplasms Female Hemoglobins Humans Iceland Logistic Models Male Middle Aged Neoplasm Grading Neutrophil Infiltration Occult Blood Registries Retrospective Studies Survival Analysis Alexiusdottir, Kristin K Snaebjornsson, Petur Tryggvadottir, Laufey Jonasson, Larus Olafsdottir, Elinborg J Björnsson, Einar Stefan Möller, Pall Helgi Jonasson, Jon G Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
topic_facet |
Ristilkrabbamein Lífslíkur Abdominal Pain Adolescent Adult Aged 80 and over Anemia Colon Colonic Neoplasms Female Hemoglobins Humans Iceland Logistic Models Male Middle Aged Neoplasm Grading Neutrophil Infiltration Occult Blood Registries Retrospective Studies Survival Analysis |
description |
To access publisher's full text version of this article. Please click on the hyperlink in Additional Links field. Available data correlating symptoms of colon cancer patients with the severity of the disease are very limited. In a population-based setting, we correlated information on symptoms of colon cancer patients with several pathological tumor parameters and survival. Information on all patients diagnosed with colon cancer in Iceland in 1995-2004 for this retrospective, population-based study was obtained from the Icelandic Cancer Registry. Information on symptoms of patients and blood hemoglobin was collected from patients' files. Pathological parameters were obtained from a previously performed standardized tumor review. A total of 768 patients entered this study; the median age was 73 years. Tumors in patients presenting at diagnosis with visible blood in stools were significantly more likely to be of lower grade, having pushing border, conspicuous peritumoral lymphocytic infiltration, and lower frequency of vessel invasion. Patients with abdominal pain and anemia were significantly more likely to have vessel invasion. Logistic regression showed that visible blood in stools was significantly associated with protecting pathological factors (OR range 0.38-0.83, p < 0.05). Tumors in patients presenting with abdominal pain were strongly associated with infiltrative margin and scarce peritumoral lymphocytic infiltration (OR = 1.95; 2.18 respectively, p < 0.05). Changes in bowel habits were strongly associated with vessel invasion (OR = 2.03, p < 0.05). Cox regression showed that blood in stools predicted survival (HR = 0.54). In conclusion, visible blood in stools correlates significantly with all the beneficial pathological parameters analyzed and with better survival of patients. Anemia, general symptoms, changes in bowel habits, acute symptoms, and abdominal pain correlate with more aggressive tumor characteristics and adverse outcome for patients. Landspitali - University Hospital Research ... |
author2 |
Univ Iceland, Fac Med, Reykjavik, Iceland, Landspitali Univ Hosp, Oncol Res Ctr, IS-101 Reykjavik, Iceland, Icelandic Canc Soc, Icelandic Canc Registry, Reykjavik, Iceland, Vrije Univ Amsterdam, Med Ctr, Dept Pathol, Amsterdam, Netherlands, Landspitali Univ Hosp, Dept Pathol, IS-101 Reykjavik, Iceland, Landspitali Univ Hosp, Dept Gastroenterol, IS-101 Reykjavik, Iceland, Landspitali Univ Hosp, Dept Surg, IS-101 Reykjavik, Iceland |
format |
Article in Journal/Newspaper |
author |
Alexiusdottir, Kristin K Snaebjornsson, Petur Tryggvadottir, Laufey Jonasson, Larus Olafsdottir, Elinborg J Björnsson, Einar Stefan Möller, Pall Helgi Jonasson, Jon G |
author_facet |
Alexiusdottir, Kristin K Snaebjornsson, Petur Tryggvadottir, Laufey Jonasson, Larus Olafsdottir, Elinborg J Björnsson, Einar Stefan Möller, Pall Helgi Jonasson, Jon G |
author_sort |
Alexiusdottir, Kristin K |
title |
Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
title_short |
Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
title_full |
Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
title_fullStr |
Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
title_full_unstemmed |
Colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
title_sort |
colon cancer: association of histopathological parameters and patients' survival with clinical presentation. |
publisher |
Wiley-Blackwell |
publishDate |
2013 |
url |
http://hdl.handle.net/2336/312256 https://doi.org/10.1111/apm.12109 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://onlinelibrary.wiley.com/doi/10.1111/apm.12109/pdf APMIS 2013, 121(10):901-7 1600-0463 23654359 doi:10.1111/apm.12109 http://hdl.handle.net/2336/312256 APMIS : acta pathologica, microbiologica, et immunologica Scandinavica |
op_rights |
Archived with thanks to APMIS : acta pathologica, microbiologica, et immunologica Scandinavica |
op_doi |
https://doi.org/10.1111/apm.12109 |
container_title |
APMIS |
container_volume |
121 |
container_issue |
10 |
container_start_page |
901 |
op_container_end_page |
907 |
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1766039213083459584 |