Primary and recurrent XXXX : prognostic factors affecting survival.

@entity1 @entity5 @entity242
BACKGROUND AND OBJECTIVES: To analyze treatment and survival in 34 @entity1 (28 resected) with primary or recurrent @entity242 ( @entity242 ). METHODS: Between July 1994 and January 2001, 34 @entity1 (15M, 19F; mean age: 56 years, range: 25-77) were evaluated. Complete resection was defined as removal of gross @entity5 with histologically confirmed clear resection margins. RESULTS: Twenty-eight out of 34 @entity1 (82%) (15 were affected by primary @entity242 , and 13 by recurrent @entity242 ), underwent surgical exploration. Twenty-three @entity1 had a grossly and microscopically complete resection, (3 having a grossly incomplete resection and 2 @entity1 with a grossly complete resection having histologically involved resection margins). Twenty-one out of 28 @entity1 (75%) underwent removal of contiguous intra-abdominal organs. Preoperative mortality was nil, and morbidity occurred in six cases only (21%). High @entity5 grade results a significant variable for a worse survival in all 28 @entity1 (100% 5 years survival for low grade vs. 0% for high grade; P = 0.0004). Amongst completely resected @entity1 , only histologic grade and peroperative blood transfusions affected disease-free survival (P = 0.04 and P = 0.05, respectively). CONCLUSIONS: An aggressive surgical approach in both primary and recurrent @entity242 is associated with long-term survival.
