title: [Rectal cancer--diagnostic and therapeutic difficulties].
abstract: This paper aim is to analyze the main diagnostic and therapeutic aspects in rectal cancer; for this purpose we analyzed the Craiova's Surgical II Clinic statistics and we report them to the present literature. There were 179 rectal cancers, diagnosed over 10 years period (between 1995 and 2004); 163 cases were operated on, in 62 cases (38.03%) the surgical intervention aim being curative; global resection of tumor was 84.66%. The operation was preceded by preoperative radiotherapy in 82 cases; all cases diagnosed in the last four years in curative stage of disease were treated by preoperative radiotherapy. The postoperative mortality was 3.68% (6 cases) and the morbidity rate (55 cases - 33.74%) is still important, mainly because of the associated diseases. In conclusion we emphasize the importance of untimely diagnosis and the obligatorily sequential treatment: preoperative radiotherapy curative surgical resection - postoperative adjuvant treatment.
authors.affiliation: Clinica II Chirurgie, U.M.F Craiova. danielvldoc@rdslink.ro
authors.forename: I D
authors.initials: ID
authors.lastname: Vîlcea
authors.forename: I
authors.initials: I
authors.lastname: Vasile
authors.forename: M
authors.initials: M
authors.lastname: Paşalega
authors.forename: F
authors.initials: F
authors.lastname: Calotă
authors.forename: C
authors.initials: C
authors.lastname: Mesină
authors.forename: S
authors.initials: S
authors.lastname: Scurtu
authors.forename: C
authors.initials: C
authors.lastname: Mirea
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D009367:Neoplasm Staging; D018714:Radiotherapy, Adjuvant; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate