ABSTRACT
Survival was followed in 143 cases of morphologically verified cancer of the pancreas and major duodenal papilla after surgical, radiation, cytostatic and combined treatment. Survival rates after radiation and complex chemoradiation treatment were shown to be close to those after radical surgery within the first two years of follow-up. However, only radically-operated patients survived at longer stages. Chemotherapy failed to show any significant advantage over symptomatic treatment.
Subject(s)
Pancreatic Neoplasms/therapy , Adult , Aged , Antineoplastic Agents/therapeutic use , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Palliative Care , Pancreatectomy , Pancreatic Neoplasms/mortality , Postoperative Complications , Radiotherapy DosageSubject(s)
Colonic Neoplasms/therapy , Preoperative Care/methods , Adult , Aged , Colectomy/methods , Female , Gamma Rays/therapeutic use , Humans , Male , Middle Aged , Radiotherapy DosageSubject(s)
Neoplasms/surgery , Terminology as Topic , Esophagus/surgery , Female , Gastrectomy , Humans , Mastectomy , Palliative Care/methods , Pneumonectomy , Rectum/surgerySubject(s)
Adenoma, Bile Duct/diagnosis , Carcinoma, Hepatocellular/diagnosis , Liver Neoplasms/diagnosis , Adolescent , Adult , Aged , Biopsy, Needle , Female , Humans , Liver/pathology , Liver Neoplasms/pathology , Male , Middle AgedABSTRACT
An analysis of statistical data indicates 0 growth of incidence and high percentage of advanced cases of rectum and colon cancer. The mean duration of preoperative history of rectum cancer comprises 8,9 months. The main causes of late diagnosis included the patients' unawareness of the symptoms of the lesion, and the defects of examinations performed in out-patient clinics. The efficacy of medical services rendered to this group of patients can be improved by extending the system of proctological services, establishing a practice of specialized out-patient examinations, screening procedures by proctologists, as well as developing modern diagnostic and operative measures for oncological lesions.