Year 2007 / Volume 99 / Number 4
Original
Resultados alejados de la resección local transanal para cánceres de recto bajo bien seleccionados

pp. 206-209

Contreras, V J. / Bannura, G. / Barrera, A. / Zúñiga, C. / Melo, C. / Soto, D.

Abstract
Objective: to evaluate our results about local failure, total recurrence and survival.

Method: twenty-one patients underwent a complete local transanal excision for low rectal cancer in our institution during an 18-year period (1985-2003). Preoperative staging included clinical, endoscopic, CT, EUSR, and histopathological findings; pathological specimens were 4 T1, 13 T2 and 4 T3 tumors.

None of the T1 patients received another treatment; 6 out of 13 T2 and all of T3 cases were treated with chemoradiotherapy. None of the latter underwent radical surgery.

Results: follow-up (median 74 months) proved 23.8% for total recurrence and 19.0% for local failure (out of all 3 T2 cases only one received chemoradiotherapy, and one T3 received adjuvant treatment). Five-year survival is 95.2%.

Conclusions: this experience allows us to assert that local excision is a good choice in well-selected low rectal cancer patients; for T2 tumors chemoradiotherapy is necessary; in T3 patients radical surgery must be prompt.
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Contreras, V J. / Bannura, G. / Barrera, A. / Zúñiga, C. / Melo, C. / Soto, D.. Resultados alejados de la resección local transanal para cánceres de recto bajo bien seleccionados. 206-209


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