title: [Skip metastases in rectosigmoid carcinoma].
abstract: OBJECTIVE
  In this study we want to point out the existence and significance of skip metastasis of rectosimoid cancer.
  
  
  METHODS
  Seventy patients with verified rectosigmoidal adenocarcinoma, treated in 5-years period, are included in this study. Diagnose was made upon physical examination, barium enema, rectosigmoidoscopy with positive biopsy and finding of isolated lymph node metastasis.
  
  
  RESULTS
  Skip metastasis were found within 6 patients (8.6%); 4 of them were males and 2 females, with average age 67 years. Overall, 13 metastasis were isolated; one patient had them 3 and five patients had 2 skip metastasis.
  
  
  CONCLUSIONS
  Radical lymphadenectomy of patients with rectosimoidal cancer requires dissection of lymph nodes along inferior mesenteric artery and its ligation on origin, as much as dissection of paraaortal and paracaval lymph nodes.
authors: Surgery Clinic K.B.C. Dr. Dragisa Misović, Belgrade.
authors: Berislav
authors: B
authors: Vekić
authors: Dragan
authors: D
authors: Radovanović
authors: Miroslav
authors: M
authors: Cvetanović
authors: Jovan
authors: J
authors: Zivanović
authors: Ivan
authors: I
authors: Pavlović
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male