The distal spread of rectal cancer was analyzed in 69 samples of anterior resection and abdominoperineal resection in order to take a contribution to the assessment of objective principles of surgical radicality. Intramural and extramural spread were investigated with regard to staging and grading. In 12 cases (17%) distal intramural spread was found. All of these were advanced tumours with highly aggressive grading (66% G3). Distal spread ranged between 5 and 30 mm. Four cases (5,7%) showed distal lymphatic spread ranging between 15 and 30 mm. Two of these patients developed pelvic recurrence. These data suggest that complete removal of the mesorectum and enlarged abdomino-pelvic lymphadenectomy by provided when 'curative' surgery for rectal cancer is undertaken.
STUDIO ISTOLOGICO SULLA DIFFUSIONE DISTALE DEL CANCRO DEL RETTO. IMPLICAZIONI DI TATTICA E TECNICA CHIRURGICHE / DI MATTEO, Giorgio; Cancrini, Antonio; Boemi, Luciano; Mascagni, Domenico; Palazzini, Giorgio; Marzullo, A.; Arcese, R.; Tarroni, Danilo; Bellotti, Carlo; Santoro, Alberto; Danese, M.; Calcopietro, F.. - In: CHIRURGIA. - ISSN 0394-9508. - STAMPA. - 2:9(1989), pp. 452-457.
STUDIO ISTOLOGICO SULLA DIFFUSIONE DISTALE DEL CANCRO DEL RETTO. IMPLICAZIONI DI TATTICA E TECNICA CHIRURGICHE
DI MATTEO, Giorgio;CANCRINI, Antonio;BOEMI, Luciano;MASCAGNI, Domenico;PALAZZINI, Giorgio;TARRONI, Danilo;BELLOTTI, Carlo;SANTORO, Alberto;
1989
Abstract
The distal spread of rectal cancer was analyzed in 69 samples of anterior resection and abdominoperineal resection in order to take a contribution to the assessment of objective principles of surgical radicality. Intramural and extramural spread were investigated with regard to staging and grading. In 12 cases (17%) distal intramural spread was found. All of these were advanced tumours with highly aggressive grading (66% G3). Distal spread ranged between 5 and 30 mm. Four cases (5,7%) showed distal lymphatic spread ranging between 15 and 30 mm. Two of these patients developed pelvic recurrence. These data suggest that complete removal of the mesorectum and enlarged abdomino-pelvic lymphadenectomy by provided when 'curative' surgery for rectal cancer is undertaken.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
