Colonoscopic Findings and Tumor Site Do Not Predict Bowel Obstruction During Medical Treatment of Stage IV Colorectal Cancer
作者： Nikiforos Ballian , David M. Mahvi , Gregory D. Kennedy
DOI: 10.1634/THEONCOLOGIST.2008-0271
关键词:
摘要: Background.Intheabsenceofsymptomsrelatedtotheir primary tumor, patients with stage IV colorectal cancer can undergo medical treatment their tumor in situ. In these patients, bowel obstruction is the mostcommonprimarytumor-relatedcomplication.We hypothesized that left-sided, circumferential, near-obstructing lesions and/or inability to advance colonoscope beyond are associated symptomatic and indications for prophylactic resection (PTR) or colonic diversion. Patients Methods. The oncology database
alphamedpress.org参考文章(21)
Marco Segala, Bruno M. Cesana, Giorgio Tiberio, Paolo G. Setti Carraro, Obstructing colonic cancer: failure and survival patterns over a ten-year follow-up after one-stage curative surgery. Diseases of The Colon & Rectum. ,vol. 44, pp. 243- 250 ,(2001) , 10.1007/BF02234300
Andrea Muratore, Daria Zorzi, Hedayat Bouzari, Marco Amisano, Paolo Massucco, Elisa Sperti, Lorenzo Capussotti, Asymptomatic Colorectal Cancer with Un-Resectable Liver Metastases: Immediate Colorectal Resection or Up-Front Systemic Chemotherapy? Annals of Surgical Oncology. ,vol. 14, pp. 766- 770 ,(2007) , 10.1245/S10434-006-9146-1
Seth A. Rosen, Initial Presentation With Stage IV Colorectal Cancer Archives of Surgery. ,vol. 135, pp. 530- 534 ,(2000) , 10.1001/ARCHSURG.135.5.530
Charles R. Scoggins, Ingrid M. Meszoely, Charles D. Blanke, R. Daniel Beauchamp, Steven D. Leach, Nonoperative management of primary colorectal cancer in patients with stage IV disease. Annals of Surgical Oncology. ,vol. 6, pp. 651- 657 ,(1999) , 10.1007/S10434-999-0651-X
Pierre Michel, Isabelle Roque, Frédéric Di Fiore, Sophie Langlois, Michel Scotte, Paul Tenière, Bernard Paillot, Colorectal cancer with non-resectable synchronous metastases: should the primary tumor be resected? Gastroenterologie Clinique Et Biologique. ,vol. 28, pp. 434- 437 ,(2004) , 10.1016/S0399-8320(04)94952-4
J. W. Serpell, F. T. McDermott, H. Katrivessis, E. S. R. Hughes, Obstructing carcinomas of the colon. British Journal of Surgery. ,vol. 76, pp. 965- 969 ,(2005) , 10.1002/BJS.1800760932
Alan D. Cook, Richard Single, Laurence E. McCahill, Surgical Resection of Primary Tumors in Patients Who Present With Stage IV Colorectal Cancer: An Analysis of Surveillance, Epidemiology, and End Results Data, 1988 to 2000 Annals of Surgical Oncology. ,vol. 12, pp. 637- 645 ,(2005) , 10.1245/ASO.2005.06.012
A. Jemal, R. Siegel, E. Ward, Y. Hao, J. Xu, T. Murray, M. J. Thun, Cancer statistics, 2008. CA: A Cancer Journal for Clinicians. ,vol. 58, pp. 71- 96 ,(2008) , 10.3322/CA.2007.0010
E. M. Oxley, H. Ellis, Prognosis of carcinoma of the large bowel in the presence of liver metastases. British Journal of Surgery. ,vol. 56, pp. 149- 152 ,(2005) , 10.1002/BJS.1800560217
A. I. Sarela, J. A. Guthrie, M. T. Seymour, E. Ride, P. J. Guillou, D. S. O'Riordain, Non-operative management of the primary tumour in patients with incurable stage IV colorectal cancer British Journal of Surgery. ,vol. 88, pp. 1352- 1356 ,(2002) , 10.1046/J.0007-1323.2001.01915.X