Zeng Yang, He Xiao-Wen, He Xiao-Sheng, Wu Xiao-Jian, Ma Jin-Ping, Wang Jian-Pin, Lan Pin
Department of Colorectal and Anal Surgery, 6th Affiliated Hospital of Sun Yet-Sen University, Guangzhou, China.
Hepatogastroenterology. 2013 Jan-Feb;60(121):37-41. doi: 10.5754/hge12564.
BACKGROUND/AIMS: We tested the hypothesis that chronic hepatic virus infection could reduce the occurrence of colorectal cancer liver metastases (CLM) and investigated CLM patients' survival prolonged in positive viral infection.
2868 colorectal cancer patients were divided into positive-infection and non-infection groups. Clinical variables, incidence of liver metastases and survival between the groups were respectively analyzed.
The incidence of liver metastases in the positive group was much lower than in the control group, but other type distant metastasis was similar in the two groups. Infected group 5-year overall survival (OS) was better than the negative group. Meanwhile, CLM patients in the former group showed longer survival time than the control group (26 months vs. 20 months, p<0.001).
Chronic hepatic viral infection could reduce the occurrence of CLM and improves the survival time of colorectal cancer. It could be a protective factor for CLM patients.
背景/目的:我们检验了慢性肝病毒感染可降低结直肠癌肝转移(CLM)发生率这一假设,并研究了病毒感染阳性的CLM患者生存期延长情况。
将2868例结直肠癌患者分为感染阳性组和非感染组。分别分析两组的临床变量、肝转移发生率及生存期。
阳性组肝转移发生率远低于对照组,但两组其他类型远处转移情况相似。感染组5年总生存期(OS)优于阴性组。同时,前一组的CLM患者生存期长于对照组(26个月对20个月,p<0.001)。
慢性肝病毒感染可降低CLM的发生率并改善结直肠癌患者的生存期。它可能是CLM患者的一个保护因素。