title: [Local excision of cancer of the rectum].
abstract: Conservative treatment of 35 patients with rectal cancer by local excision is reported. Limited surgery of rectal cancer can be a part of treatment of this tumor. Selection of the patient for limited surgical procedure should be strictly in accordance with the following criteria: tumor diameter less than 3 cm, clinical staging I and II, histologically well differentiated type, tumor invasion no deeper than the submucosa and patients with severe cardiopulmonary diseases who could not withstand radical surgery. A transanal local excision is the most straightforward approach. Local excision was by per anal full-thickness disc excision and trans-sphincteric disc excision. Prognosis and further treatment were based on the histopathologic results of operative specimen. The overall 5-year survival rate was 71.4% (18/21) and 10-year survival rate 33% (7/21).
authors.affiliation: Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
authors.forename: Y F
authors.initials: YF
authors.lastname: Shao
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002276:Carcinoid Tumor / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D015996:Survival Rate