Item type |
文献 / Documents(1) |
公開日 |
2021-11-29 |
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アクセス権 |
open access |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
出版社版DOI |
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関連識別子 |
https://doi.org/10.2152/jmi.68.309 |
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関連名称 |
10.2152/jmi.68.309 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
タイトル |
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タイトル |
SDF-1 expression after preoperative chemoradiotherapy is associated with prognosis in patients with advanced lower rectal cancer |
タイトル別表記 |
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その他のタイトル |
SDF-1 expression in rectal cancer |
著者 |
オキカワ, ショウヘイ
東島, 潤
西, 正暁
良元, 俊昭
江藤, 祥平
髙須, 千絵
柏原, 秀也
徳永, 卓哉
吉川, 幸造
島田, 光生
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抄録 |
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内容記述 |
Stromal cell-derived factor-1 (SDF-1) expression is associated with cancer progression, as a biomarker of prognosis. We clarified the significance of SDF-1 expression on chemoradiotherapy (CRT) resistance and prognosis in advanced lower rectal cancer patients. We evaluated 98 patients with advanced lower rectal cancer who underwent preoperative CRT. All patients received 40 Gy of radiation therapy, with concurrent chemotherapy containing fluorinated pyrimidines, followed by surgical resection. SDF-1 expression in surgical specimens was examined by immunohistochemistry. We divided the patients into SDF-1-positive- (n = 52) and SDF-1-negative groups (n = 46) and compared the clinicopathological factors and survival rates. The SDF-1-positive group was more resistant to CRT than the SDF-1-negative group (non-responder rate, 63.5% vs. 47.8%, respectively ; p = 0.12). Overall survival (OS) in the SDF-1 positive group was significantly poorer vs. the SDF-1-negative group (5-year OS, 73.4% vs. 88.0%, respectively ; p = 0.02), and disease-free survival (DFS) was worse (5-year DFS, 61.0% vs. 74.1%, respectively ; p = 0.07). Multivariate analysis confirmed that SDF-1 expression was a significant independent prognostic predictor of OS (p = 0.04). SDF-1 expression after preoperative CRT is significantly associated with a poor prognosis in advanced lower rectal cancer patients and is a promising biomarker. |
キーワード |
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主題 |
Rectal cancer |
キーワード |
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主題 |
Stromal derived factor-1 |
キーワード |
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主題 |
Radiation resistance |
キーワード |
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主題 |
Preoperative chemoradiotherapy |
書誌情報 |
en : The Journal of Medical Investigation
巻 68,
号 3-4,
p. 309-314,
発行日 2021-08
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収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13496867 |
収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13431420 |
収録物ID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA11166929 |
出版者 |
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出版者 |
Tokushima University Faculty of Medicine |
EID |
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識別子 |
386708 |
言語 |
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言語 |
eng |