Management of inguinal lymph node metastases from adenocarcinoma of the rectum.

摘要: Forty patients with inguinal lymph node metastases from rectal adenocarcinoma were reviewed. Patients divided into three groups based on the extent of their disease: (1) unresectable primary tumors; (2) recurrent disease after abdominoperineal resection; and (3) isolated resection. in Groups 1 2 underwent biopsy nodal metastases. Group 3 treated by dissection. Survival data examined for each group, four clinical pathologic features analyzed to determine impact prognosis: depth invasion tumor (T1–2 vs. T3–4), number positive nodes specimen (0–2vs. > 2), (unilateral bilateral), timing ( year resection). There no five-year survivors any group. Median survival was highest those metastases, remaining free disease, lowest (7 months). increased when LNM unilateral (17 6 months; P < 0.01) they occurred more than resection (21 7 P=0.02). Stage lesion (depth nodes) did not affect survival. Of 32 who alone, only developed a tumor-related groin complication. For dissection is recommended purposes local control possible cure. extranodal prophylactic excision warranted.