Salvage radical surgery after failed local excision for early rectal cancer.
作者： Charles M. Friel , John W. Cromwell , Claudio Marra , Robert D. Madoff , David A. Rothenberger
DOI: 10.1007/S10350-004-6320-Z
关键词:
摘要: OBJECTIVES: Local recurrence after transanal excision of rectal cancer is often amenable to salvage radical proctectomy, but the long-term results remain unknown. This study was designed determine outcome surgery failed local in patients with early cancer. METHODS: We retrospectively reviewed charts 29 who underwent for a full-thickness Stage I End points included and distant recurrences disease-free survival surgery. Comparisons between groups were performed by chi-squared test. RESULTS: Recurrence involved wall 26 (90 percent) purely extrarectal only 3 (10 percent). Mean time operation months. The resection considered curative 23 (79 stage recurrent tumor more advanced than primary 27 (93 At mean follow-up 39 (range, 2–147) months surgery, 17 (59 remained free disease. rate 68 percent tumors favorable histology vs. unfavorable histology. CONCLUSION: Salvage cancers may not provide equivalent those initial treatment. In present poor emphasize importance appropriate selection treatment
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sci-hub.se 参考文章(17)
David Blumberg, Philip B Paty, Antonio I Picon, Jose G Guillem, David S Klimstra, Bruce D Minsky, Stuart H Quan, Alfred M Cohen, Stage I Rectal Cancer: Identification of High-Risk Patients Journal of The American College of Surgeons. ,vol. 186, pp. 574- 580 ,(1998) , 10.1016/S1072-7515(98)00018-0
Ronald Bleday, Local Excision of Rectal Cancer World Journal of Surgery. ,vol. 21, pp. 706- 714 ,(1997) , 10.1007/S002689900295
Julio Garcia-Aguilar, Anders Mellgren, Prayuth Sirivongs, Donald Buie, Robert D. Madoff, David A. Rothenberger, Local excision of rectal cancer without adjuvant therapy: a word of caution. Annals of Surgery. ,vol. 231, pp. 345- 351 ,(2000) , 10.1097/00000658-200003000-00007
Christopher G. Willett, Carolyn C. Compton, Paul C. Shellito, Jimmy T. Efird, Selection factors for local excision or abdominoperineal resection of early stage rectal cancer Cancer. ,vol. 73, pp. 2716- 2720 ,(1994) , 10.1002/1097-0142(19940601)73:11<2716::AID-CNCR2820731111>3.0.CO;2-9
Ronald Bleday, Elizabeth Breen, Milburn J. Jessup, Anne Burgess, Stephen M. Sentovich, Glenn Steele, Prospective evaluation of local excision for small rectal cancers. Diseases of The Colon & Rectum. ,vol. 40, pp. 388- 392 ,(1997) , 10.1007/BF02258381
Robert H. Taylor, John H. Hay, Stephan N. Larsson, Transanal local excision of selected low rectal cancers. American Journal of Surgery. ,vol. 175, pp. 360- 363 ,(1998) , 10.1016/S0002-9610(98)00038-5
J. Milburn Jessup, Andrew K. Stewart, Herman R. Menck, The National Cancer Data Base Report on Patterns of Care for Adenocarcinoma of the Rectum, 1985-1995 Cancer. ,vol. 83, pp. 2408- 2418 ,(1998) , 10.1002/(SICI)1097-0142(19981201)83:11<2408::AID-CNCR22>3.0.CO;2-G
M. R. Lock, J. K. Ritchie, P. R. Hawley, Reappraisal of radical local excision for carcinoma of the rectum. British Journal of Surgery. ,vol. 80, pp. 928- 929 ,(2005) , 10.1002/BJS.1800800747
Mark Killingback, Local excision of carcinoma of the rectum: indications. World Journal of Surgery. ,vol. 16, pp. 437- 446 ,(1992) , 10.1007/BF02104444
Paul L. Baron, Warren E. Enker, Maureen F. Zakowski, Carlos Urmacher, Immediate vs. Salvage resection after local treatment for early rectal cancer Diseases of The Colon & Rectum. ,vol. 38, pp. 177- 181 ,(1995) , 10.1007/BF02052447