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Author:

Yang, Jiao (Yang, Jiao.) | Du, Xiang Lin (Du, Xiang Lin.) | Li, Shu Ting (Li, Shu Ting.) | Wang, Bi Yuan (Wang, Bi Yuan.) | Wu, Yin Ying (Wu, Yin Ying.) | Chen, Zhe Ling (Chen, Zhe Ling.) | Lv, Meng (Lv, Meng.) | Shen, Yan Wei (Shen, Yan Wei.) | Wang, Xin (Wang, Xin.) | Dong, Dan Feng (Dong, Dan Feng.) | Li, Dan (Li, Dan.) | Wang, Fan (Wang, Fan.) | Li, En Xiao (Li, En Xiao.) | Yi, Min (Yi, Min.) | Yang, Jin (Yang, Jin.)

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SCIE PubMed Scopus

Abstract:

Background It has been suggested that colorectal cancer be regarded as several subgroups defined according to tumor location rather than as a single entity. The current study aimed to identify the most useful method for grouping colorectal cancer by tumor location according to both baseline and survival characteristics. Methods Cases of pathologically confirmed colorectal adenocarcinoma diagnosed from 2000 to 2012 were identified from the Surveillance, Epidemiology, and End Results database and categorized into three groups: right colon cancer (RCC), left colon cancer (LCC), and rectal cancer (ReC). Adjusted hazard ratios for known predictors of disease-specific survival (DSS) in colorectal cancer were obtained using a Cox proportional hazards regression model. Results The study included 57847 patients: 43.5% with RCC, 37.7% with LCC, and 18.8% with ReC. Compared with LCC and ReC, RCC was more likely to affect old patients and women, and to be at advanced stage, poorly differentiated or un-differentiated, and mucinous. Patients with LCC or ReC had better DSS than those with RCC in subgroups including stage III or IV disease, age <= 70 years and non-mucinous adenocarcinoma. Conversely, patients with LCC or ReC had worse DSS than those with RCC in subgroups including age >70 years and mucinous adenocarcinoma. Conclusions RCC differed from both LCC and ReC in several clinicopathologic characteristics and in DSS. It seems reasonable to group colorectal cancer into right-sided (i.e., proximal) and left-sided (i.e., distal) ones.

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Author Community:

  • [ 1 ] [Yang, Jiao; Li, Shu Ting; Wang, Bi Yuan; Wu, Yin Ying; Chen, Zhe Ling; Lv, Meng; Shen, Yan Wei; Wang, Xin; Dong, Dan Feng; Li, Dan; Wang, Fan; Li, En Xiao; Yi, Min; Yang, Jin] Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 2 ] [Du, Xiang Lin] Univ Texas Houston, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA
  • [ 3 ] [Yi, Min] Univ Texas MD Anderson Canc Ctr, Dept Breast Surg Oncol, Houston, TX 77030 USA
  • [ 4 ] [Yang, Jiao]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 5 ] [Li, Shu Ting]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 6 ] [Wang, Bi Yuan]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 7 ] [Wu, Yin Ying]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 8 ] [Chen, Zhe Ling]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 9 ] [Lv, Meng]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 10 ] [Shen, Yan Wei]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 11 ] [Wang, Xin]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 12 ] [Dong, Dan Feng]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 13 ] [Li, Dan]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 14 ] [Wang, Fan]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 15 ] [Li, En Xiao]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 16 ] [Yi, Min]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 17 ] [Yang, Jin]Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China
  • [ 18 ] [Du, Xiang Lin]Univ Texas Houston, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA
  • [ 19 ] [Yi, Min]Univ Texas MD Anderson Canc Ctr, Dept Breast Surg Oncol, Houston, TX 77030 USA

Reprint Author's Address:

  • Xi An Jiao Tong Univ, Dept Med Oncol, Affiliated Hosp 1, Xian, Shaanxi Provinc, Peoples R China.; Yi, M (reprint author), Univ Texas MD Anderson Canc Ctr, Dept Breast Surg Oncol, Houston, TX 77030 USA.

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Source :

PLOS ONE

ISSN: 1932-6203

Year: 2016

Issue: 12

Volume: 11

2 . 8 0 6

JCR@2016

3 . 2 4 0

JCR@2020

ESI Discipline: MULTIDISCIPLINARY;

ESI HC Threshold:245

JCR Journal Grade:2

CAS Journal Grade:3

Cited Count:

WoS CC Cited Count: 42

SCOPUS Cited Count: 63

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 3

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