Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Surg. 2009 Dec;144(12):1115-20. doi: 10.1001/archsurg.2009.210.

Colon cancer and low lymph node count: who is to blame?

Author information

  • 1Department of Surgical Oncology, Lakeland Regional Cancer Center, Lakeland, Florida, USA. jakub.james@mayo.edu

Abstract

OBJECTIVE:

To identify the factors that contribute to the disparity in the number of lymph nodes examined for curative colon cancer resections.

DESIGN:

Our prospectively accrued cancer registry was analyzed for all colon cancer resections performed in a consecutive 52-month period (January 1, 2003, through April 30, 2007).

SETTING:

The study was performed at an 851-bed community hospital. Seventeen surgeons performed colon resections, with the number of resections varying from 1 to 154. Ten pathologists and 3 pathology assistants evaluated the specimens.

PATIENTS:

A total of 430 patients met the inclusion criteria and underwent surgical resection. Only patients with colon cancer were included in the study; patients with rectal cancers, in situ disease only, T4 tumors, and stage IV disease at the time of diagnosis were excluded to ensure a uniform group of patients, all undergoing resection with curative intent.

MAIN OUTCOME MEASURES:

Age of the patient; the surgeon, pathologist, and pathology technician; stage of disease; and year of surgery were analyzed.

RESULTS:

No statistical difference was found in the number of lymph nodes retrieved based on the surgeon (P = .21), pathologist (P = .11), or pathology technician (P = .26). Age of the patient, primary site of the tumor, stage, and year of surgery were all significantly associated with number of lymph nodes retrieved (P <.001).

CONCLUSIONS:

The origin of a low lymph node count appears multifactorial. Inadequate lymph node retrieval for colon cancer resections cannot uniformly be attributed to 1 factor, such as the surgeon.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk