Oncologic outcomes and proper surveillance after local excision of rectal cancer / 대한외과학회지
Journal of the Korean Surgical Society
;
: 94-100, 2013.
Article
in English
| WPRIM
| ID: wpr-18696
ABSTRACT
PURPOSE:
The aim of this study was to analyze oncologic outcomes after transanal local excision (LE) to ensure adequate surveillance of recurrence in order to treat with curative intent.METHODS:
Between January 2000 and June 2009, 102 patients who underwent transanal LE for rectal adenocarcinoma were retrospectively reviewed.RESULTS:
Of the 102 patients, 53 (52.0%) were male. The mean age was 57 +/- 11 years. Postoperative pathologic examination revealed 93 cases (91.2%) of pathologic T stage (pT)1 and 9 cases (8.8%) of pT2. Forty-eight patients (47.1%) underwent adjuvant postoperative radiotherapy. The median follow-up interval was 60 months (range, 3 to 146 months). Seven (6.9%) out of 15 patients who suffered recurrence had locoregional recurrence, three (2.9%) had systemic recurrence and five (4.9%) had both systemic and locoregional recurrence. The latter five patients and two of the three patients with systemic recurrence died because of the disease recurrence. On the other hand, only one of the seven patients with locoregional recurrence died because of disease recurrence.CONCLUSION:
Systemic recurrence after transanal LE results in fatal consequences. Therefore, not only is it important to identify ideal candidates for LE, but intensive postoperative surveillance is important as well to identify curable recurrence as soon as possible.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rectal Neoplasms
/
Recurrence
/
Adenocarcinoma
/
Retrospective Studies
/
Follow-Up Studies
/
Dietary Sucrose
/
Hand
Type of study:
Observational study
/
Prognostic study
/
Screening study
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2013
Type:
Article
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