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The Significance of Peritoneal Effusion in Colorectal Cancer
Journal of the Korean Society of Coloproctology ; : 308-313, 2006.
Article in Korean | WPRIM | ID: wpr-175638
ABSTRACT

PURPOSE:

It has been reported that in colorectal cancer, the positive rate of the cytological examination of ascites is low and that the cytologically positive result of the cancer cell influences its prognosis; nonetheless, not many studies on the correlation of the formation of peritoneal effusion and cancer have been done yet. Thus, this study on the correlation of clinico-pathological findings with peritoneal effusion was initiated.

METHODS:

The study population, includes a total of 191 patients who underwent an operation for colon cancer and rectal cancer from May 1, 2004, to December 31, 2005. Peritoneal effusion considered to be present in cases with more than 10 cc of body fluid retained in the Douglas pouch, and a cytological test was performed on patients whose retained fluid was more than 50 cc. In all patients, the correlation of the clinico-pathological findings with peritoneal effusion was analyzed, and the volume of effusion and the positive result of peritoneal cytology were compared.

RESULTS:

Among the 191 patients, patients without peritoneal effusion numbered 133 (69.6%) and patients with peritoneal effusion numbered 58 (30.4%). Between the two groups, the presence of intestinal obstruction due to cancer (P0.05).

CONCLUSIONS:

For colorectal cancer patients with peritoneal effusion, but without co-morbid medical diseases inducing such peritoneal effusion, by regarding peritoneal effusion itself as meaningful, the range of lymphadenectomies, adjuvant chemotherapy, and other additional therapy should be considered.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / Ascites / Rectal Neoplasms / Body Fluids / Ascitic Fluid / Colorectal Neoplasms / Multivariate Analysis / Chemotherapy, Adjuvant / Colonic Neoplasms / Douglas' Pouch Type of study: Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Society of Coloproctology Year: 2006 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / Ascites / Rectal Neoplasms / Body Fluids / Ascitic Fluid / Colorectal Neoplasms / Multivariate Analysis / Chemotherapy, Adjuvant / Colonic Neoplasms / Douglas' Pouch Type of study: Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Society of Coloproctology Year: 2006 Type: Article