title: [The treatment of rectal carcinoma in the elderly patient. Is there room for local treatment?].
abstract: The treatment of choice for low rectal carcinoma is an abdominal perineal excision of the rectum or an anterior resection. These surgical procedures have a significant morbidity and mortality, especially in elderly patients. An abdominal perineal excision of the rectum requires a permanent colostomy. In elderly and so called high risk patients local treatment is an attractive alternative. For many years local excision electrocoagulation, contact irradiation and cryotherapy have been well known local treatment modalities. Indications for and results of the various methods of local treatment are discussed.
mesh_terms: D000368:Aged; D004564:Electrocoagulation; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D011878:Radiotherapy / Q000379:methods; D012004:Rectal Neoplasms / Q000532:radiotherapy / Q000601:surgery*
vernacular_title: De behandeling van het rectumcarcinoom bij de bejaarde patiënt. Is er een plaats voor lokale behandeling?