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1.
Magy Seb ; 70(1): 56-63, 2017 03.
Article in Hungarian | MEDLINE | ID: mdl-28294676

ABSTRACT

INTRODUCTION: Two hundred and three patients were operated on with rectal malignancy between 2007 and 2014 in our surgical department. METHODS: Of these, patients who had cancer within 16 cm of the anal verge were included. 73 patients received neoadjuvant treatment and 130 patients were treated with primary resection. The specimens were graded by the Dworak and the Rödel regression score system. RESULTS: We found strong response in 45 patients and pathologic complete remission in three patients. 5-years survival was compared in the two groups operated between 2007 and 2009. While the overall survival rates were just the same, we can report that response to neoadjuvant therapy is a strong predictor of disease free survival. The incidence of loco-regional recurrence was lower in patients who received neoadjuvant treatment compared to the ones who underwent primary resection. Postoperative complications, incidence of anastomotic leakage were also analysed. We did not find increase in the postoperative complications in the group of patients with neoadjuvant treatment.


Subject(s)
Anal Canal/surgery , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Neoadjuvant Therapy , Rectal Neoplasms/therapy , Adult , Aged , Anal Canal/pathology , Anastomotic Leak/epidemiology , Anastomotic Leak/etiology , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Disease-Free Survival , Female , Hospitals, Urban , Humans , Male , Middle Aged , Neoadjuvant Therapy/adverse effects , Neoadjuvant Therapy/mortality , Neoplasm Recurrence, Local , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Rectal Neoplasms/mortality , Rectal Neoplasms/pathology , Rectum/surgery , Sigmoid Neoplasms/complications , Survival Rate , Treatment Outcome
2.
Magy Seb ; 64(5): 246-8, 2011 Oct.
Article in Hungarian | MEDLINE | ID: mdl-21997530

ABSTRACT

The authors present a case of a 48 year-old man, who was diagnosed with several brownish sigmoid polyps of 1-2 cm size and diverticulosis on colonoscopy. Subsequently, laparoscopic sigmoid resection was carried out due to lower gastrointestinal bleeding. Histological examination revealed diverticulosis associated with polyposis. This rare entity is known in the literature as prolapse-type inflammatory polyp, which is a type of mucosal prolapse syndrome. The brownish discolouration was caused by hemosiderin deposition.


Subject(s)
Colonic Polyps/complications , Colonic Polyps/diagnosis , Diverticulum/complications , Diverticulum/diagnosis , Intestinal Mucosa/pathology , Sigmoid Diseases/diagnosis , Colonic Polyps/pathology , Colonoscopy , Diverticulum/pathology , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Humans , Laparoscopy , Male , Middle Aged , Prolapse , Sigmoid Diseases/pathology , Syndrome
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