[Locoregional recurrence following the operative treatment of rectal cancer. Basic principles of prevention and therapy].
The frequency of local recurrences has been observed in dependence on sex, tumour specific parameters (typing, grading, staging, macroscopical form of growth, level of primary tumour) and technical parameters (method of operation, distal margin of resection). In case of early diagnosis, there is a possibility of differentiating technically caused local recurrences from those caused by the tumour because of their localization. Recurrences caused by the tumour may proceed from incompletely removed primary tumours. Technically caused recurrences may be primarily due to insufficiently resected tumours, which could have been removed completely. Only technically caused recurrences make a curative second operation possible. If the criteria of radicality are strictly observed during the primary operation, there should be no need for the so-called 'surgically curative' local recurrences to be treated anymore.
Dommes
M
M
Thiede
A
A
Hamelmann
H
H
D000230:Adenocarcinoma / Q000601:surgery; D002288:Adenocarcinoma, Mucinous / Q000601:surgery; D002277:Carcinoma / Q000601:surgery; D003131:Combined Modality Therapy; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D011379:Prognosis; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012306:Risk
Das lokoregionäre Rezidiv nach operativer Behandlung des Rektumkarzinoms. Grundprinzipien der Verhinderung und Therapie.