Definition of local recurrence after surgery for rectal carcinoma.

2.50
Hdl Handle:
http://hdl.handle.net/10541/98148
Title:
Definition of local recurrence after surgery for rectal carcinoma.
Authors:
Marsh, P J; James, Roger D; Schofield, Philip F
Abstract:
Local recurrence rates of rectal carcinoma have been analysed among 284 patients in a prospective randomized multicentre trial of adjuvant preoperative radiotherapy for locally advanced rectal carcinoma. Wide variations in local recurrence rates are demonstrated depending on the definition of local recurrence employed and the subgroup studied. Thus after surgical operation alone, rates as high as 43.3 per cent or as low as 12.7 per cent can be calculated. After both adjuvant preoperative radiotherapy and operation the overall local recurrence rate is 12.8 per cent, although the local recurrence rate inside the radiotherapy field (true recurrence) may be as low as 2.3 per cent. It is recommended that local recurrence after operation for rectal carcinoma be defined as any detectable local disease at follow-up, occurring either alone or in conjunction with generalized recurrence, in patients who have undergone resection. A rate should be given both for all patients and for those operated on for cure, but not for the latter group alone as this could introduce bias.
Affiliation:
Department of Surgery, Christie Hospital NHS Trust, Withington, Manchester, UK.
Citation:
Definition of local recurrence after surgery for rectal carcinoma. 1995, 82 (4):465-8 Br J Surg
Journal:
The British Journal of Surgery
Issue Date:
Apr-1995
URI:
http://hdl.handle.net/10541/98148
DOI:
10.1002/bjs.1800820412
PubMed ID:
7542142
Type:
Article
Language:
en
ISSN:
0007-1323
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMarsh, P Jen
dc.contributor.authorJames, Roger Den
dc.contributor.authorSchofield, Philip Fen
dc.date.accessioned2010-05-07T10:59:38Z-
dc.date.available2010-05-07T10:59:38Z-
dc.date.issued1995-04-
dc.identifier.citationDefinition of local recurrence after surgery for rectal carcinoma. 1995, 82 (4):465-8 Br J Surgen
dc.identifier.issn0007-1323-
dc.identifier.pmid7542142-
dc.identifier.doi10.1002/bjs.1800820412-
dc.identifier.urihttp://hdl.handle.net/10541/98148-
dc.description.abstractLocal recurrence rates of rectal carcinoma have been analysed among 284 patients in a prospective randomized multicentre trial of adjuvant preoperative radiotherapy for locally advanced rectal carcinoma. Wide variations in local recurrence rates are demonstrated depending on the definition of local recurrence employed and the subgroup studied. Thus after surgical operation alone, rates as high as 43.3 per cent or as low as 12.7 per cent can be calculated. After both adjuvant preoperative radiotherapy and operation the overall local recurrence rate is 12.8 per cent, although the local recurrence rate inside the radiotherapy field (true recurrence) may be as low as 2.3 per cent. It is recommended that local recurrence after operation for rectal carcinoma be defined as any detectable local disease at follow-up, occurring either alone or in conjunction with generalized recurrence, in patients who have undergone resection. A rate should be given both for all patients and for those operated on for cure, but not for the latter group alone as this could introduce bias.en
dc.language.isoenen
dc.subjectCancer Recurrenceen
dc.subjectRectal Canceren
dc.subject.meshHumans-
dc.subject.meshNeoplasm Recurrence, Local-
dc.subject.meshPalliative Care-
dc.subject.meshProspective Studies-
dc.subject.meshRadiotherapy, Adjuvant-
dc.subject.meshRectal Neoplasms-
dc.titleDefinition of local recurrence after surgery for rectal carcinoma.en
dc.typeArticleen
dc.contributor.departmentDepartment of Surgery, Christie Hospital NHS Trust, Withington, Manchester, UK.en
dc.identifier.journalThe British Journal of Surgeryen
All Items in Christie are protected by copyright, with all rights reserved, unless otherwise indicated.