Survival analysis of cholangiocarcinoma: A 10-year experience in Malaysia

Yusoff, A.R. and Razak, M.M.A. and Yoong, B.K. and Vijeyasingam, R. and Siti, Z.M. (2012) Survival analysis of cholangiocarcinoma: A 10-year experience in Malaysia. World Journal of Gastroenterology, 18 (5). pp. 458-465. ISSN 1007-9327

Full text not available from this repository.
Official URL: http://www.wjgnet.com/1007-9327/full/v18/i5/458.ht...

Abstract

AIM: To investigate the clinical features and survival of patients treated for cholangiocarcinoma in our institution and to analyze the factors affecting their survival. METHODS: This retrospective cohort study assessed patients diagnosed with cholangiocarcinoma between January 1997 and December 2007 at the University Malaya Medical Centre in Malaysia. The clinical data and associated outcomes were collected using a structured proforma. RESULTS: Of the 69 patients diagnosed with cholangiocarcinoma, 38 (55%) were male; mean patient age was 61 years. Twelve patients (17%) had intrahepatic, 38 (55%) had perihilar and 19 (28%) had distal tumors. Only 12 patients underwent curative surgery, including seven R0 resections. Only one patient died within 30 d after surgery. The overall median survival was 4 mo, whereas the median survival of R0 resected patients was 16 mo. The overall 1-, 2- and 3-year cumulative survival rates were 67%, 17% and 17%, respectively. Survival rates were significantly associated with curative resection (P = 0.002), intrahepatic tumor (P = 0.003), negative margin status (P = 0.013), early tumor stage (P = 0.016), higher tumor differentiation (P = 0.032) and absence of jaundice (P = 0.038). Multivariate analysis showed that tumor location was a significant independent predictor of patient survival. CONCLUSION: Curative, margin-negative resection of early stage, well-differentiated intrahepatic tumors is associated with improved patient survival.

Item Type: Article
Uncontrolled Keywords: Cholangiocarcinoma; Bile duct tumor; Surgery; Malaysia
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 26 Jan 2015 10:39
Last Modified: 26 Jan 2015 10:39
URI: http://eprints.um.edu.my/id/eprint/12383

Actions (login required)

View Item View Item