Patterns of recurrence following surgery alone for adenocarcinoma of the colon and rectum

摘要: Two hundred and eighty patients with previously untreated large bowel adenocarcinoma were retrospectively evaluated following complete primary resection to determine patterns of recurrence. One five (37%) subsequently developed recurrent disease. Sixty percent (63/105) presented local recurrence alone, 14% (15/105) concomitant distant metastases, 26% (27/105) metastases alone. Ninety-two recurrences in structures contiguous the operative area incision. The degree tumor anaplasia depth penetration into wall influenced rate Through 5 years, without clinical evidence was most common cause death. Plans for adjuvant radiation therapy are discussed.