Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision.

作者: P. Quirke , M.F. Dixon , P. Durdey , N.S. Williams

DOI: 10.1016/S0140-6736(86)92612-7

关键词:

摘要: In 52 patients with rectal adenocarcinoma whole-mount sections of the entire operative specimen were examined by transverse slicing. There was spread to lateral resection margin in 14 (27%) and 12 these proceeded local pelvic recurrence. The specificity, sensitivity, positive predictive values 92%, 95%, 85%, respectively. a retrospective stage-matched grade-matched control group there recurrence same proportion patients, but this series no patient had been shown routine sampling have spread. adenocarcinoma, is mainly due tumour has previously underestimated.

参考文章(15)
I. G. Finlay, C. S. McArdle, The identification of patients at high risk following curative resection for colorectal carcinoma. British Journal of Surgery. ,vol. 69, pp. 583- 584 ,(2005) , 10.1002/BJS.1800691008
J. C. Goligher, C. E. Dukes, H. J. R. Bussey, Local recurrences after sphincter-saving excisions for carcinoma of the rectum and rectosigmoid British Journal of Surgery. ,vol. 39, pp. 199- 211 ,(1951) , 10.1002/BJS.18003915504
R.J Heald, R.D.H Ryall, Recurrence and survival after total mesorectal excision for rectal cancer. The Lancet. ,vol. 327, pp. 1479- 1482 ,(1986) , 10.1016/S0140-6736(86)91510-2
B. C. Morson, E. G. Vaughan, H. J. R. Bussey, Pelvic Recurrence after Excision of Rectum for Carcinoma BMJ. ,vol. 2, pp. 13- 18 ,(1963) , 10.1136/BMJ.2.5348.13
Robert S. Grinnell, THE GRADING AND PROGNOSIS OF CARCINOMA OF THE COLON AND RECTUM. Annals of Surgery. ,vol. 109, pp. 500- 533 ,(1939) , 10.1097/00000658-193904000-00002
K.W. CHAN, J. BOEY, S.K.C. WONG, A method of reporting radial invasion and surgical clearance of rectal carcinoma. Histopathology. ,vol. 9, pp. 1319- 1327 ,(1985) , 10.1111/J.1365-2559.1985.TB02813.X
R. K. S. Phillips, Rosemary Hittinger, Lynda Blesovsky, J. S. Fry, L. P. Fielding, Local recurrence following 'curative' surgery for large bowel cancer: II. The rectum and rectosigmoid. British Journal of Surgery. ,vol. 71, pp. 17- 20 ,(2005) , 10.1002/BJS.1800710105
A. R. Rao, A. R. Kagan, P. M. Chan, H. A. Gilbert, H. Nussbaum, B. L. Hintz, Patterns of recurrence following curative resection alone for adenocarcinoma of the rectum and sigmoid colon Cancer. ,vol. 48, pp. 1492- 1495 ,(1981) , 10.1002/1097-0142(19810915)48:6<1492::AID-CNCR2820480636>3.0.CO;2-K