한국인의 대장암종은 지역별로 서로 동일한가? - 외과적으로 절제된 1,676개 암종(1,602명 환자)에 대한 전국 조사 -
DDoes the Colorectal Cancer Among Koreans Share the Same Pathological Features by Geographical Distribution - A Nationwide Survey of Surgically Resected 1,676 Cancers from 1,602 Patients -
장미수, 박철근, 김우호, 장희경, 손진희, 문우성, 강대영, 강경훈, 남종희, 박선후, 성노현, 오영륜, 장은숙, 조미연, 조경자, 김용일,
소속 상세정보
장미수 ( Chang Mee-Soo )
대한병리학회 소화기병리학연구회
박철근 ( Park Cheol-Keun )
대한병리학회 소화기병리학연구회
김우호 ( Kim Woo-Ho )
대한병리학회 소화기병리학연구회
장희경 ( Chang Hee-Kyung )
대한병리학회 소화기병리학연구회
손진희 ( Sohn Jin-Hee )
대한병리학회 소화기병리학연구회
문우성 ( Moon Woo-Sung )
대한병리학회 소화기병리학연구회
강대영 ( Kang Dae-Young )
대한병리학회 소화기병리학연구회
강경훈 ( Kang Gyeong-Hoon )
대한병리학회 소화기병리학연구회
남종희 ( Nam Jong-Hee )
대한병리학회 소화기병리학연구회
박선후 ( Park Sun-Hoo )
대한병리학회 소화기병리학연구회
성노현 ( Sung Ro-Hyun )
대한병리학회 소화기병리학연구회
오영륜 ( Oh Young-Lyun )
대한병리학회 소화기병리학연구회
장은숙 ( Chang Eun-Sook )
대한병리학회 소화기병리학연구회
조미연 ( Cho Mee-Yon )
대한병리학회 소화기병리학연구회
조경자 ( Cho Kyung-Ja )
대한병리학회 소화기병리학연구회
김용일 ( Kim Yong-Il )
대한병리학회 소화기병리학연구회
KMID : 0357920010350010014
Abstract
Background: This nationwide survey was undertaken to characterize the general pathological features of colorectal cancer in Korea, and especially to elucidate the geographical characteristics by means of their anatomical distribution.
Methods: We analysed 1,676 colorectal cancers (from 1,602 patients) surgically resected in 1998 at 15 institutions from nine geographical sites in Korea.
Results: The topographic incidence of colorectal cancer in seven out of the total nine geographical sites, was the highest in the rectum (32-54%); and those from Wonju and Cheongju were in the sigmoid colon (28% for both). The right colon cancer incidence was 42% in Wonju and 36% in Cheongju, while it was 17-22% in the other areas. The cecal cancer incidences in Wonju and in Taegu were 7% and 8%, respectively, but 0-4% in the other areas. As for histology, moderately differentiated adenocarcinoma was the most frequent (46-84%), except for in Wonju and Chonju, where the most predominant type was well differentiated (63% and 52%, respectively).
Conclusion: The incidence of right colon cancer was higher in Wonju and Cheongju, than in the other geographical sites. The cecal predilection was prominent in Taegu and Wonju. The Elucidation of geographical differences in degree of differentiation for tubular adenocarcinoma seems to require further cumulative study with strict guidelines.
키워드
Colorectal cancer;Nationwide survey;Pathology;Topography
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