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Retrospective Study
Copyright: ©Author(s) 2026.
World J Gastrointest Surg. Jul 27, 2026; 18(7): 119305
Published online Jul 27, 2026. doi: 10.4240/wjgs.119305
Table 4 Analysis of recurrence patterns and sites between groups, n (%)
Recurrence characteristics
Early recurrence group (n = 63)
Late recurrence group (n = 57)
Statistical value
P value
Recurrence patternχ² = 4.6730.097
Local recurrence only12 (19.0)18 (31.6)
Distant metastasis only38 (60.3)31 (54.4)
Combined local and distant13 (20.6)8 (14.0)
Distant metastasis sites
    Liver metastasis34 (54.0)26 (45.6)χ² = 0.8630.353
    Lung metastasis20 (31.7)13 (22.8)χ² = 1.2260.268
Peritoneal metastasis11 (17.5)8 (14.0)χ² = 0.2780.598
Bone metastasis5 (7.9)3 (5.3)χ² = 0.3490.555
Lymph node metastasis9 (14.3)6 (10.5)χ² = 0.4090.522
Brain metastasis2 (3.2)1 (1.8)χ² = 0.2670.605
Number of metastatic organsχ² = 3.4280.180
    Single organ32 (50.8)35 (61.4)
    Multiple organs (≥ 2)19 (30.2)12 (21.1)
Local recurrence only12 (19.0)10 (17.5)
Recurrence detection method χ² = 1.8650.393
    Imaging examination48 (76.2)47 (82.5)
    Tumor marker elevation11 (17.5)7 (12.3)
Clinical symptoms4 (6.3)3 (5.3)
Tumor markers at recurrence
    CEA ≥ 5 ng/mL50 (79.4)34 (59.6)χ² = 5.7050.017
    CEA level (ng/mL, median)18.6 (6.3-45.2)9.8 (3.7-28.5)Z = 2.3150.021
CA19-9 ≥ 37 U/mL28 (44.4)19 (33.3)χ² = 1.5920.207
Time to diagnosis (months, mean ± SD)2.8 ± 1.63.2 ± 1.8t = 1.2890.200


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