[Preoperative radiotherapy in cancer of the rectum. Our 5-year experience].
Since 1990, 41 patients with rectal carcinoma have been submitted to preoperative radiotherapy, which induced a shrinkage of the tumor, favouring its surgical resection. Besides, in 3 cases the operative specimens were tumor free, and a higher incidence of A and B 1 categories was found. Surgical results have been compared with an analogous group of 20 patients, where surgery was performed as a first procedure, then followed by radiotherapy in 9. No increase of postoperative complications was observed. While analysis of follow-up results demonstrates a decrease of tumour recurrence in patients with preoperative radiotherapy, no difference in survival was registered, because of the development of extra-pelvic metastases.
Manenti
A
A
Cattedra di Chirurgia d'Urgenza, Università degli Studi, Modena.
Gavioli
M
M
Santantonio
M
M
Parmiggiani
M
M
Mandolini
G
G
Falchi
A
A
Miselli
R
R
Gabrielli
C
C
Luppi
G
G
Rosi
A C
AC
Piccagli
I
I
Romani
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy; D003131:Combined Modality Therapy; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications; D011300:Preoperative Care; D011879:Radiotherapy Dosage; D012004:Rectal Neoplasms / Q000401:mortality / Q000532:radiotherapy* / Q000601:surgery*; D013997:Time Factors