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대장암 신환의 치료 현황 분석

Treatment Patterns for Colorectal Cancer Patients at the National Cancer Center Korea in 2003

대한대장항문학회지 2007년 23권 4호 p.245 ~ 249
김덕우 ( Kim Duck-Woo ) - 서울대학교 의과대학 외과학교실

정승용 ( Jeong Seung-Yong ) - 국립암센터 대장암센터
김대용 ( Kim Dae-Yong ) - 국립암센터 대장암센터
손대경 ( Sohn Dae-Kyung ) - 국립암센터 대장암센터
임석병 ( Lim Seok-Byung ) - 국립암센터 대장암센터
장희진 ( Chang Hee-Jin ) - 국립암센터 대장암센터
정경해 ( Jung Kyung-Hae ) - 국립암센터 대장암센터
정준용 ( Jeong Jun-Yong ) - 국립암센터 대장암센터
최효성 ( Choi Hyo-Seong ) - 국립암센터 대장암센터
박재갑 ( Park Jae-Gahb ) - 서울대학교 의과대학 외과학교실

Abstract


Purpose: In Korea, colorectal cancer (CRC) is one of the most sharply-increasing malignancies, and the National Colorectal Cancer Screening Program for persons over 50 years of age began in 2004. To determine the effectiveness of the program, comparative data regarding CRCs treated prior to 2004 must be analyzed. The present study assessed CRC status at diagnosis and treatment patterns in 2003.

Methods: In 2003, 503 patients were newly diagnosed with CRC and were treated at the Center for Colorectal Cancer, National Cancer Center (NCC). Clinical data were retrospectively reviewed.

Results: The 503 patients included 256 colon and 247 rectal cancer patients. Of the 256 colon cancer patients, 5 (2.0%) were diagnosed during screening colonoscopies and were successfully treated using an endoscopic mucosal resection (EMR), and 17 (6.6%) received only palliative chemotherapy because of distant metastases. Forty patients (15.6%) were treated with palliative surgery and chemotherapy, and 194 (75.8%) with curative surgery with or without adjuvant chemotherapy. Of the 247 rectal cancer patients, 9 (3.6%) were treated with an EMR, 20 (8.1%) with palliative chemotherapy with or without radiotherapy, 19 (7.7%) with palliative surgery and chemoradiotherapy, and 199 (80.6%) with curative surgery with or without chemoradiotherapy. Treatment with curative intent was possible in 199 of 256 (77.7%) colon cancer patients and in 208 of 247 (84.2%) rectal cancer patients.

Conclusions: Only 12.1% of colon and 8.5% of rectal cancer patients were diagnosed early and treated without adjuvant therapies at the NCC in Korea in 2003. J Korean Soc Coloproctol 2007;23:245-249

키워드

대장암;국가 암조기검진 프로그램;병기
Colorectal cancer;The National Cancer Screening Program;Tumor stage
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